NPI Code Details Logo

NPI 1407532690

NPI 1407532690 : BROWNSLYFECARE : BRIDGETON, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407532690
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BROWNSLYFECARE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/23/2023
-----------------------------------------------------
    Last Update Date     |    05/07/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    107 GRANDVIEW DR 
-----------------------------------------------------
    City                 |    BRIDGETON
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08302-3871
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    856-392-4537
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    107 GRANDVIEW DR 
-----------------------------------------------------
    City                 |    BRIDGETON
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08302-3871
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    856-392-4537
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     ROYMANIA  BROWN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    856-392-4537
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    174200000X
-----------------------------------------------------
    Taxonomy Name        |    Meals Provider
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251G00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Based Hospice Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    347C00000X
-----------------------------------------------------
    Taxonomy Name        |    Private Vehicle
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    385H00000X
-----------------------------------------------------
    Taxonomy Name        |    Respite Care
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    320900000X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.