Provider Demographics
NPI:1972498509
Name:GENTLE BIRTH SUPPORT LLC
Entity type:Organization
Organization Name:GENTLE BIRTH SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ECATERINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOVC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-841-9845
Mailing Address - Street 1:7073 LAKEHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-4879
Mailing Address - Country:US
Mailing Address - Phone:916-841-9845
Mailing Address - Fax:
Practice Address - Street 1:7073 LAKEHAVEN DR
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-4879
Practice Address - Country:US
Practice Address - Phone:916-841-9845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty