Organization Active NPI

Generations Home Birth, LLC

  • Midwife
  • Ammon, ID
National Provider Identifier
1114441771
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
GENERATIONS HOME BIRTH, LLC
Practice address
2650 Ross Ave
Ammon, ID 83406-7860
Phone
(208) 360-2627
Fax
(208) 549-7293
NPI assigned
Jul 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Valerie Jean Hall, CPM
Title
Owner
Phone
(208) 569-9733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

2650 Ross Ave
Ammon, ID 83406-7860

Mailing address

2650 Ross Ave
Ammon, ID 83406-7860
Phone (208) 360-2627

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114441771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 ROSS AVE",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834067860",
            "telephone_number": "208-360-2627",
            "fax_number": "208-549-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 ROSS AVE",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834067860",
            "telephone_number": "208-360-2627",
            "fax_number": "208-549-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS HOME BIRTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-569-9733",
        "authorized_official_credential": "CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.