Provider Demographics
NPI:1144092644
Name:STAYING HOME BIRTH, LLC
Entity type:Organization
Organization Name:STAYING HOME BIRTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:CPM-TN
Authorized Official - Phone:339-203-7479
Mailing Address - Street 1:6111 SASHA LN
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37416-1112
Mailing Address - Country:US
Mailing Address - Phone:339-203-7478
Mailing Address - Fax:
Practice Address - Street 1:6111 SASHA LN
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37416-1112
Practice Address - Country:US
Practice Address - Phone:339-203-7478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing