MEDICARE: BROWN STAFFING SOLUTIONS LLC

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1295513760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWN STAFFING SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	6421 N FLORIDA AVE # D1312
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-6007
Country	:	US
Telephone Number	:	727-283-7736
Fax Number	:

Provider Business Practice Location Address
First Line	:	14272 RIVA RIDGE PL
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-3301
Country	:	US
Telephone Number	:	172-722-5389
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DIAMOND SHANTAVIA BROWN
Credential	:
Telephone Number	:	727-225-3890

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	09/18/2023

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