Provider Demographics
NPI:1174388516
Name:CONNECTED BEGINNINGS LLC
Entity type:Organization
Organization Name:CONNECTED BEGINNINGS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:
Authorized Official - First Name:VONYEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-568-4353
Mailing Address - Street 1:4190 VINEWOOD LN N # 111-435
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55442-1715
Mailing Address - Country:US
Mailing Address - Phone:612-568-4353
Mailing Address - Fax:
Practice Address - Street 1:4190 VINEWOOD LN N # 111-435
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55442-1715
Practice Address - Country:US
Practice Address - Phone:612-568-4353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1073035341Medicaid