MEDICARE: RAQUEL L BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	374U00000X	Home Health Aide
2	385H00000X	Respite Care
3	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
4	376J00000X	Homemaker

General Provider Information

NPI Number	:	1275353542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAQUEL L BROWN

Provider Business Mailing Address
First Line	:	1365 RANDOMHILL RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-2431
Country	:	US
Telephone Number	:	513-394-1023
Fax Number	:

Provider Business Practice Location Address
First Line	:	1365 RANDOMHILL RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-2431
Country	:	US
Telephone Number	:	513-394-1023
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2024
Last Update Date	:	10/11/2024

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Directions to “ RAQUEL L BROWN ” Practice Location

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