Provider Demographics
NPI:1558306118
Name:THE BROWN-BEY GROUP
Entity type:Organization
Organization Name:THE BROWN-BEY GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/LICENSEE-DESIGNEE
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-387-9842
Mailing Address - Street 1:24634 5 MILE RD
Mailing Address - Street 2:SUITE 16
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3631
Mailing Address - Country:US
Mailing Address - Phone:313-387-9842
Mailing Address - Fax:313-387-9438
Practice Address - Street 1:36925 GLENWOOD RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:MI
Practice Address - Zip Code:48184-1171
Practice Address - Country:US
Practice Address - Phone:734-721-0117
Practice Address - Fax:734-721-4969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI9885209Medicaid