Provider Demographics
NPI:1417482456
Name:BELLYMOMS LLC
Entity Type:Organization
Organization Name:BELLYMOMS LLC
Other - Org Name:BELLYMOMS MATERNITY AND NURSINGWEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TASNEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAVELIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-324-3052
Mailing Address - Street 1:20521 NE 22ND CT
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-4383
Mailing Address - Country:US
Mailing Address - Phone:425-324-3052
Mailing Address - Fax:
Practice Address - Street 1:20521 NE 22ND CT
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-4383
Practice Address - Country:US
Practice Address - Phone:425-324-3052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies