Organization Active NPI

Home Sweet Home Birth Center, LLC

  • Birthing Clinic/Center
  • Otis, OR
National Provider Identifier
1669704052
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
07-1569 Issued in OR
Legal business name
HOME SWEET HOME BIRTH CENTER, LLC
Practice address
3013 N North Bank Rd
Otis, OR 97368-9754
Phone
(541) 996-3968
Fax
(541) 996-6353
NPI assigned
Feb 9, 2010
Last updated
Feb 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Mrs. Cynthia Jean Luxford, LDM-CPMNPI 1992839781
Title
Owner
Phone
(541) 996-3968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X 07-1569 OR Primary

Addresses

Primary practice location

3013 N North Bank Rd
Otis, OR 97368-9754

Mailing address

3013 N North Bank Rd
Otis, OR 97368-9754
Phone (541) 996-3968

Other identifiers 1

IdentifierTypeStateIssuer
1205960093MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1669704052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 N NORTH BANK RD",
            "city": "OTIS",
            "state": "OR",
            "postal_code": "973689754",
            "telephone_number": "541-996-3968",
            "fax_number": "541-996-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 N NORTH BANK RD",
            "city": "OTIS",
            "state": "OR",
            "postal_code": "973689754",
            "telephone_number": "541-996-3968",
            "fax_number": "541-996-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET HOME BIRTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "LUXFORD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-996-3968",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LDM-CPM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "OR",
            "license": "07-1569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205960093",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Otis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.