Provider Demographics
NPI:1760350631
Name:CROWN OF GLORY BIRTH SERVICES LLC
Entity type:Organization
Organization Name:CROWN OF GLORY BIRTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PROFESSIONAL MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:RAQUAEL
Authorized Official - Last Name:SMITH-GRAMBY
Authorized Official - Suffix:
Authorized Official - Credentials:LM,CPM
Authorized Official - Phone:205-894-1191
Mailing Address - Street 1:60 CHELSEA CORS
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:AL
Mailing Address - Zip Code:35043-7401
Mailing Address - Country:US
Mailing Address - Phone:205-894-1191
Mailing Address - Fax:205-533-9798
Practice Address - Street 1:4950 HAWTHORNE PL
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:AL
Practice Address - Zip Code:35043
Practice Address - Country:US
Practice Address - Phone:205-894-1191
Practice Address - Fax:205-533-9798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty