Chaneka N Brown

Individual provider Active NPI Home Health Aide · Severn, MD

NPI 1093414799 · NPPES record last updated Mar 1, 2023

Key facts

NPI
1093414799
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
1749 Wood Carriage Way
Severn, MD 21144-5016
Phone
(443) 410-8454
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Heaven on Earth Home Healthcare Home Health Aide Current
since Jun 4, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X MD
Adult Companion 372600000X MD
Attendant Care Provider 3747A0650X MD
Personal Care Attendant 3747P1801X MD
Homemaker 376J00000X MD
Driver 172A00000X MD
Nurse's Aide 376K00000X MD
Home Health Aide 374U00000X MD Yes

Addresses

Primary practice location

1749 Wood Carriage Way
Severn, MD 21144-5016

Mailing address

1749 Wood Carriage Way # 1749
Severn, MD 21144-5016
Phone (443) 410-8454

Other providers in Severn, MD

All providers in Severn, MD · Home Health Aide in Maryland

Sources for this page

Verify at the official NPI Registry.