Healthcare Provider Details

I. General information

NPI: 1174125652
Provider Name (Legal Business Name): BROWN'S BLESSED CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2020
Last Update Date: 11/10/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

985 EAGLES FORREST DR
APOPKA FL
32712-2324
US

IV. Provider business mailing address

PO BOX 216
CLARCONA FL
32710-0216
US

V. Phone/Fax

Practice location:
  • Phone: 407-757-7510
  • Fax:
Mailing address:
  • Phone: 407-757-7510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TENAKA R. BROWN
Title or Position: CEO
Credential:
Phone: 407-757-7510