FAIRFAX HOME BIRTH (NPI# 1124471180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124471180 |
| Entity Type | Organization |
| Organization Name | FAIRFAX HOME BIRTH |
| Practice Address |
10805 Norman Ave Fairfax VA 22030-2932 |
| Practice Telephone | 7035340373 |
| Practice Fax Number | 7035439397 |
| Mailing Telephone | 7035340373 |
| Mailing Fax Number | 7035439397 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | STORY JONES (NURSE MIDWIFE, OWNER) |
| Authorized Official Telephone | 7035340373 |
| Authorized Official Credential | CNM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
Ambulatory Health Care Facilities |
| Street Address |
10805 NORMAN AVE |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048112 | Serenity Renewed Holistic Wellness Center LLC | Clinic/Center | 2567 Homeview Dr, Richmond, VA 23294-1700 | 2020-06-24 |
| 1376170779 | Community Birth Group | Clinic/Center | 63 Post St, Newport News, VA 23601-3950 | 2020-03-25 |
| 1033563903 | Embrace Midwifery & Birth Care, LLC | Clinic/Center | 130 Buford Rd, North Chesterfield, VA 23235-5204 | 2016-04-18 |
| 1346601671 | New Life Miwifery Services | Clinic/Center | 6934 Weston Rd, Falls Church, VA 22042-2625 | 2016-03-14 |
| 1184083537 | Premier Birth Center LLC | Clinic/Center | 125 Premier Pl, Winchester, VA 22602-4321 | 2016-02-14 |
| 1659737047 | National Birth Centers, Inc | Clinic/Center | 6136 9th Rd N, Arlington, VA 22205-1610 | 2016-01-14 |
| 1497011159 | Northern Virginia Natural Birth Center and Wellness Community | Clinic/Center | 4200a Technology Ct, Chantilly, VA 20151-1214 | 2012-04-06 |
| 1386931913 | The Birthing Place | Clinic/Center | 182 Spotnap Rd, Suite 1a, Charlottesville, VA 22911-8661 | 2011-07-04 |
| 1598084022 | Complete Care Birthing Center | Clinic/Center | 7109 Jahnke Rd, Richmond, VA 23225-4017 | 2010-05-24 |
| 1306161302 | Brookhaven Health and Natural Birth Center | Clinic/Center | 1461 Brookhaven Dr, Harrisonburg, VA 22801-3584 | 2010-04-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.