Provider Demographics
NPI:1043750847
Name:BIRTH HAVEN LLC
Entity type:Organization
Organization Name:BIRTH HAVEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARBALENA-ESPARZA
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:806-370-9888
Mailing Address - Street 1:5503 SW 9TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-4130
Mailing Address - Country:US
Mailing Address - Phone:806-437-1537
Mailing Address - Fax:806-412-5575
Practice Address - Street 1:5503 SW 9TH AVE STE A
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4130
Practice Address - Country:US
Practice Address - Phone:806-437-1537
Practice Address - Fax:806-412-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QB0400X
TXAP127984367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Single Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty