Healthcare Provider Details

I. General information

NPI: 1417874819
Provider Name (Legal Business Name): SHARON C BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38514 RANALLY WAY
WILLOUGHBY OH
44094-7418
US

IV. Provider business mailing address

38514 RANALLY WAY
WILLOUGHBY OH
44094-7418
US

V. Phone/Fax

Practice location:
  • Phone: 440-665-5768
  • Fax:
Mailing address:
  • Phone: 440-665-5768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: