Active NPI
Fruit of the Womb Perinatal Service, LLC
- Doula
- Cleveland, OH
National Provider Identifier
1205445483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- FRUIT OF THE WOMB PERINATAL SERVICE, LLC
- Practice address
- 3356 W 94TH St
Cleveland, OH 44102-4818 - Phone
- (440) 723-9408
- NPI assigned
- Jul 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angel Coleman, CLC, LCCE, CD
- Title
- Owner
- Phone
- (440) 723-9408
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
3356 W 94TH St
Cleveland, OH 44102-4818
Mailing address
3356 W 94TH St
Cleveland, OH 44102-4818
Phone (440) 723-9408
Other names 1
- Fruit of The Womb Perinatal Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615507200000",
"number": "1205445483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3356 W 94TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441024818",
"telephone_number": "440-723-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3356 W 94TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441024818",
"telephone_number": "440-723-9408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRUIT OF THE WOMB PERINATAL SERVICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-23",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "ANGEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-723-9408",
"authorized_official_credential": "CLC, LCCE, CD"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fruit of The Womb Perinatal Services",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Fruit of The Womb Perinatal Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.