COREY BROWN (NPI# 1043790256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043790256 |
| Entity Type | Individual |
| Full Name | COREY BROWN |
| Practice Address |
525 S Decatur Blvd Las Vegas NV 89107-3910 |
| Mailing Address |
2109 Royal Antilles Ct North Las Vegas NV 89031-0904 |
| Practice Telephone | 7029989607 |
| Mailing Telephone | 7022739375 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588121594 | Corey Brown | Technician | 3611 Silver Park Dr Apt 302, Suitland, MD 20746-2931 | 2019-02-26 |
| 1225405483 | Corey Brown | Physical Therapy Assistant | 23375 State Route 141, Waterloo, OH 45688-9378 | 2015-08-24 |
| 1518593318 | Corey Evan Brown | Physical Therapist | 5850 Us Highway 431 Ste 34, Albertville, AL 35950-2083 | 2020-03-12 |
| 1700357969 | Corey Brown | Counselor | 291 Smith Ranch Rd, San Rafael, CA 94903-2093 | 2018-12-16 |
| 1801286273 | Corey Brown | Chiropractor | 1704 Broadview Blvd, Natrona Heights, PA 15065-2123 | 2015-01-23 |
| 1700284205 | Corey Bentley Brown | Pharmacist | 807 S Highway 53, La Grange, KY 40031-9531 | 2014-12-15 |
| 1689004343 | Corey Brown | Community Based Residential Treatment Facility, Mental Illness | 2600 S Grant St, Denver, CO 80210-5708 | 2013-11-17 |
| 1487944617 | Corey Nathaniel Brown | Internal Medicine | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2011-04-08 |
| 1043338460 | Corey Eugene Brown | Counselor | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2007-03-26 |
| 1376670620 | Corey Donyell Brown | Physician Assistant | 575 Main St, Suite 351, Laurel, MD 20707-4343 | 2007-02-27 |
| Street Address |
525 S DECATUR BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669720082 | 24/7 Home Health Care Inc | In Home Supportive Care | 525 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2012-08-15 |
| 1831790161 | Gerrick Cain | Chore Provider | 525 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-11-03 |
| 1871191585 | Elisia Muhammad | Chore Provider | 525 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-10-14 |
| 1689271199 | Ladonna Simon | Chore Provider | 525 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-10-07 |
| 1588277693 | Dolores Flores | Chore Provider | 525 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-08-28 |
| 1265045587 | Stephanie Castillo | Chore Provider | 525 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-08-26 |
| 1376154260 | Carla Smith | Chore Provider | 525 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-08-13 |
| 1043821937 | Teri Washington | Chore Provider | 525 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-08-13 |
| 1285244186 | Sarai Lazarte-monttedoro | Technician | 525 S Decatur Blvd, Las Vegas, NV 89107 | 2020-08-05 |
| 1831708213 | Mike Choi | Chore Provider | 525 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
| 1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
| 1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
| 1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
| 1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1356940654 | Shannon Gordon | Technician | 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 | 2020-10-19 |
| Find all providers in LAS VEGAS | ||||
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| 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.