Provider Demographics
NPI:1811500044
Name:HOME SWEET BIRTH LLC
Entity type:Organization
Organization Name:HOME SWEET BIRTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JO
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:443-536-2025
Mailing Address - Street 1:4513 MCGILL TER
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-6382
Mailing Address - Country:US
Mailing Address - Phone:443-536-2025
Mailing Address - Fax:
Practice Address - Street 1:4513 MCGILL TER
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-6382
Practice Address - Country:US
Practice Address - Phone:443-536-2025
Practice Address - Fax:205-719-4140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-27
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing