Provider Demographics
NPI:1689431025
Name:CROWNING MIDWIFERY, BIRTH SERVICES, AND BEYOND PLLC
Entity Type:Organization
Organization Name:CROWNING MIDWIFERY, BIRTH SERVICES, AND BEYOND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-510-9654
Mailing Address - Street 1:6501 ARLINGTON EXPY
Mailing Address - Street 2:B105 #7003
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211
Mailing Address - Country:US
Mailing Address - Phone:305-510-9654
Mailing Address - Fax:850-204-7718
Practice Address - Street 1:14050 INTEGRA DR APT 1112
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-2669
Practice Address - Country:US
Practice Address - Phone:850-296-7608
Practice Address - Fax:850-204-7718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No175M00000XOther Service ProvidersMidwife, LayGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty