MEDICARE: TIARA L BROWN

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	171M00000X	Case Manager/Care Coordinator		OH
2	251E00000X	Home Health Agency		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5212	OTHER	OH	NON MEDICAL HOME HEALTHCARE AGENCY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457940629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIARA L BROWN

Provider Business Mailing Address
First Line	:	8316 JACKIES DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-4232
Country	:	US
Telephone Number	:	513-614-7067
Fax Number	:

Provider Business Practice Location Address
First Line	:	8316 JACKIES DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-4232
Country	:	US
Telephone Number	:	513-503-5487
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2021
Last Update Date	:	02/11/2026

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Directions to “ TIARA L BROWN ” Practice Location

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