Organization Active NPI

Fruit of the Womb Perinatal Service, LLC

  • Doula
  • Cleveland, OH
National Provider Identifier
1205445483
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
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

Updated by the provider on Mar 12, 2021

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)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.