Hontoon Family, LLC

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

HONTOON FAMILY, LLC

Doing business as

Amabella Birth Center

Practice address

2275 N Volusia Ave Ste 200
Orange City, FL 32763-2833

Phone

(386) 456-4538

NPI assigned

May 9, 2022

Last updated

May 9, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

HONTOON FAMILY, LLCAs reported in NPPES

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

Authorized official

Name

Christy Hersey, LM, CPMNPI 1851764252

Title

Director Midwife

Phone

(904) 514-4928

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amabella Birth Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Hontoon Family LLC

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis Eduardo Pardo Toro, MD

  • Obstetrics & Gynecology Physician
  • Fleming Island, FL
  • NPI 1700834439
  Medicare reassignment NPD
• Christy Hersey, LM, CPM

  • Midwife
  • Orange City, FL
  • NPI 1851764252
  NPD Authorized official
• Brianna Jackson, CPM, LM

  • Midwife
  • Orange City, FL
  • NPI 1396570768
  NPD

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1205572633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 N VOLUSIA AVE STE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327632833",
            "telephone_number": "386-456-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 N VOLUSIA AVE STE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327632833",
            "telephone_number": "386-456-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONTOON FAMILY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HONTOON FAMILY, LLC",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "HERSEY",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "DIRECTOR MIDWIFE",
        "authorized_official_telephone_number": "904-514-4928",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851764252",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.amabellabirth.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "2275 N Volusia Ave Ste 200",
            "city": "Orange City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327632833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amabella Birth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Birthing Clinic/Center in Orange City, FL
• Providers in Orange City, FL by specialty
• Birthing Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.