MEDICARE: ELBROWN ENTERPRISES, INC

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		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952642969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELBROWN ENTERPRISES, INC

Provider Business Mailing Address
First Line	:	2211 LEE RD STE 211
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-1846
Country	:	US
Telephone Number	:	407-878-7368
Fax Number	:	321-363-0707

Provider Business Practice Location Address
First Line	:	2211 LEE RD STE 211
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-1846
Country	:	US
Telephone Number	:	407-878-7368
Fax Number	:	321-363-0707

Authorized Official
Title or Position	:	CHIEF LEGAL OFFICER
Name	:	JOSEPH BONACCORSI
Credential	:
Telephone Number	:	312-346-6599

Provider Enumeration Date	:	03/15/2013
Last Update Date	:	04/30/2026

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