MEDICARE: SHAWANNAH BROWN ELDER CARE

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

General Provider Information

NPI Number	:	1790617041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAWANNAH BROWN ELDER CARE

Provider Business Mailing Address
First Line	:	682 CREEKSTONE CIR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38127-2051
Country	:	US
Telephone Number	:	901-671-6607
Fax Number	:

Provider Business Practice Location Address
First Line	:	682 CREEKSTONE CIR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38127-2051
Country	:	US
Telephone Number	:	901-671-6607
Fax Number	:

Authorized Official
Title or Position	:	HOME HEALTH MANAGER
Name	:	SHAWANNAH R BROWN
Credential	:	BLS) & CPR CERTIFICA
Telephone Number	:	901-647-9465

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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