=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023965027
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TANIA JANEA BREWER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/11/2026
-----------------------------------------------------
Last Update Date | 03/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 500 MADISON AVE STE 200
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43604-1230
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 567-312-8700
-----------------------------------------------------
Fax | 567-312-8793
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 500 MADISON AVE STE 200
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43604-1230
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 567-312-8700
-----------------------------------------------------
Fax | 567-312-8793
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number | CHW.003127
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------