Provider Demographics
NPI:1215124250
Name:BROWNS FAMILY CARE HOME
Entity type:Organization
Organization Name:BROWNS FAMILY CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ERNEST
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-362-6686
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:NEW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27562
Mailing Address - Country:US
Mailing Address - Phone:919-362-6686
Mailing Address - Fax:919-362-5492
Practice Address - Street 1:8416 JAME REST HOME ROAD
Practice Address - Street 2:
Practice Address - City:NEW HILL
Practice Address - State:NC
Practice Address - Zip Code:27562
Practice Address - Country:US
Practice Address - Phone:919-362-6686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROWNS FAMILY CARE HOME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL092005251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health