Provider Demographics
NPI:1992220743
Name:SAFE AND SOUND BIRTH, LLC
Entity Type:Organization
Organization Name:SAFE AND SOUND BIRTH, LLC
Other - Org Name:SAFE AND SOUND BIRTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, LICENSED MIDWIFE
Authorized Official - Prefix:MS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BACH
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:352-436-4468
Mailing Address - Street 1:228 E SILVER SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-5832
Mailing Address - Country:US
Mailing Address - Phone:352-436-4468
Mailing Address - Fax:
Practice Address - Street 1:228 E SILVER SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-5832
Practice Address - Country:US
Practice Address - Phone:352-436-4468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW312176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015157100Medicaid