Healthcare Provider Details

I. General information

NPI: 1497679633
Provider Name (Legal Business Name): RODNEY BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 SAVANNAH TER SE
WASHINGTON DC
20020-2117
US

IV. Provider business mailing address

1925 SAVANNAH TER SE APT I
WASHINGTON DC
20020-2153
US

V. Phone/Fax

Practice location:
  • Phone: 202-299-7175
  • Fax:
Mailing address:
  • Phone: 202-286-6847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: