MEDICARE: BROWNS FAMILY CARE HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	FCL092005	NC

General Provider Information

NPI Number	:	1215124250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWNS FAMILY CARE HOME

Provider Business Mailing Address
First Line	:	PO BOX 94
Second Line	:
City	:	NEW HILL
State	:	NC
Zip	:	27562
Country	:	US
Telephone Number	:	919-362-6686
Fax Number	:	919-362-5492

Provider Business Practice Location Address
First Line	:	8416 JAME REST HOME ROAD
Second Line	:
City	:	NEW HILL
State	:	NC
Zip	:	27562
Country	:	US
Telephone Number	:	919-362-6686
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN ERNEST BROWN
Credential	:
Telephone Number	:	919-362-6686

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	10/03/2007

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