Healthcare Provider Details

I. General information

NPI: 1891626313
Provider Name (Legal Business Name): SHAWANNAH BROWN ELDER CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

972 CARROLTON RD
MEMPHIS TN
38127-3710
US

IV. Provider business mailing address

972 CARROLTON RD
MEMPHIS TN
38127-3710
US

V. Phone/Fax

Practice location:
  • Phone: 901-671-6607
  • Fax:
Mailing address:
  • Phone: 901-671-6607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAWANNAH BROWN
Title or Position: OWNER
Credential:
Phone: 901-647-9465