WILLETTA DENICE BROWN


Address: 2508 S Main St, Longview, TX 75603-5011
Phone: 2142744903

WILLETTA DENICE BROWN (NPI# 1366957961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366957961
Entity Type Individual
Full Name WILLETTA DENICE BROWN
Practice Address 2508 S Main St
Longview
TX 75603-5011
Mailing Address Po Box 12320
Longview
TX 75607-2320
Practice Telephone 2142744903
Enumeration Date 2017-12-05
Last Update Date 2020-09-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 310400000X Assisted Living Facility Nursing & Custodial Care Facilities
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities

Office Location

Street Address 2508 S MAIN ST
City LONGVIEW
State TX
Zip Code 75603-5011

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639681711 Cuc Linh Thi Huynh Pharmacist 4006 Estes Pwky, Longview, TX 75603 2017-10-30
1912109067 Willie Edward Boyd Assisted Living Facility 315 East Cliffwood, Longview, TX 75603 2007-06-01
1295869899 Wal-mart Stores Texas LLC Durable Medical Equipment & Medical Supplies 4006 Estes Pkwy, Longview, TX 75603-1712 2007-03-15
1528199882 Wal-mart Stores Texas, LLC Technician/Technologist 4006 Estes Pkwy, Longview, TX 75603-1712 2007-03-08
1780184275 Latonya Toliver Licensed Vocational Nurse 5091 Fm 2011, Longview, TX 75603-3126 2018-02-20
1699970020 Summit Sitter Services, Inc. Home Health 4206 Fm 2011, Longview, TX 75603-3196 2007-06-16
1184058067 Regina A. Phillips Community Health Worker 660 Pleasant Green Rd, Longview, TX 75603-4342 2013-08-27
1265913719 Dianne Renee Sprayberry Licensed Vocational Nurse 2073 Fm 2011 # 91, Longview, TX 75603-4344 2018-08-23
1265834154 Garrett's Healthcare Services Clinic/Center 1670 Fm 2906, Longview, TX 75603-6331 2014-09-23
1467687475 Kyndal Kare Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 794 Pegues Rd, Longview, TX 75603-6616 2009-05-19
Find all providers in zip 75603

Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811025166 Claudette Williams Custodial Care Facility 634 English Ln, Longview, TX 75605-7247 2007-03-01
1285762591 Mary Higgs Custodial Care Facility 611 E Buchanan Ave, Longview, TX 75602-2021 2007-02-28
1588041941 Higgs Foster Care Custodial Care Facility 611 E Buchanan Ave, Longview, TX 75602-2021 2015-05-05
1588069454 Deborah Nalls Custodial Care Facility 512 N 2nd St, Longview, TX 75601-6438 2014-11-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215538483 Alejandra Melendez Custodial Care Facility 160 Santa Paula Dr, El Paso, TX 79927-1466 2020-11-04
1962001750 Geov Divine Healthcare Services Inc. Custodial Care Facility 230 Darby Trails Dr, Sugar Land, TX 77479-5243 2020-10-22
1306444799 St Leo Healthcare Services Inc Custodial Care Facility 4338 Berry Bend Ln, Richmond, TX 77406-7224 2020-10-16
1609473065 Business Minds of Houston, LLC Custodial Care Facility 6102 Stonebury Ct, Sugar Land, TX 77479-5487 2020-10-07
1831704311 Holistic Group LLC Custodial Care Facility 510 Cassia Way, Arlington, TX 76002-4520 2020-09-11
1619581170 Unconditional Love Adult Family Homes Custodial Care Facility 3906 Waterproof, Killeen, TX 76549-4404 2020-09-02
1871105924 Beezway Inc Custodial Care Facility 6100 Verandas Cir Apt 837, Fort Worth, TX 76132-4166 2020-08-20
1972112266 Texas Pro Homecare Inc. Custodial Care Facility 2706 Seabiscuit Road, Celina, TX 75009 2020-07-23
1598374787 Anapa Healthcare Services LLC Custodial Care Facility 22430 Rustic Meadow Ct, Katy, TX 77494-8247 2020-07-23
1336766336 Living Faith Community Home, Inc. Custodial Care Facility 10735 Braes Forest Dr, Houston, TX 77071-1501 2020-06-25
Find all providers with the same taxonomy

Competitor

Search similar providers

City LONGVIEW
Zip Code 75603

Improve Information

Please comment or provide details below to improve the information on WILLETTA DENICE BROWN.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches