Provider Demographics
NPI:1922879634
Name:UNEARTHED BIRTH LLC
Entity type:Organization
Organization Name:UNEARTHED BIRTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-821-7912
Mailing Address - Street 1:17622 MAIN STREET
Mailing Address - Street 2:DOULAINTHEDESERT@GMAIL.COM
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-6294
Mailing Address - Country:US
Mailing Address - Phone:760-821-7912
Mailing Address - Fax:
Practice Address - Street 1:17622 MAIN ST
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-6294
Practice Address - Country:US
Practice Address - Phone:760-821-7912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty