Vivian Brown, CARE GIVER PROVIDER
Individual provider Active NPI Home Health Aide · Malvern, AR
NPI 1104013598 · NPPES record last updated Sep 28, 2007
Key facts
- NPI
- 1104013598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 913 Magnolia
Malvern, AR 72104 - Phone
- (501) 337-8414
- NPI assigned
- Sep 28, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
913 Magnolia
Malvern, AR 72104
Mailing address
913 Magnolia
Malvern, AR 72104
Phone (501) 337-8414
Other providers in Malvern, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.