Individual provider Active NPI

Roderick B Brown

  • Home Health Aide
  • Memphis, TN
National Provider Identifier
1174154074
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
3592 Knight Arnold Rd Ste 322
Memphis, TN 38118-2709
Phone
(901) 729-6237
Fax
(901) 672-8520
NPI assigned
Jan 29, 2020
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X TN Primary

Addresses

Primary practice location

3592 Knight Arnold Rd Ste 322
Memphis, TN 38118-2709

Mailing address

1840 Pyramid PL Ste 322
Memphis, TN 38132-1703
Phone (901) 729-6237

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address universal.care@mail.com Health Information Exchange (HIE)

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Supportive Care In Home Supportive Care CurrentSince Oct 11, 2020 Accepting new patients
Universal Supportive Care Transportation LLC CurrentSince Mar 13, 2022 Accepting new patients

Locations

1840 Pyramid Pl
Ste 322
Memphis, TN 38132
Phone (901) 729-6237

3592 Knight Arnold Rd
Ste 322
Memphis, TN 38118
Phone (901) 729-6237

Organizations & group practices 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1174154074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 PYRAMID PL STE 322",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381321703",
            "telephone_number": "901-729-6237",
            "fax_number": "901-672-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 KNIGHT ARNOLD RD STE 322",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182709",
            "telephone_number": "901-729-6237",
            "fax_number": "901-672-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RODERICK",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "universal.care@mail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3592 Knight Arnold Rd Ste 322",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381182709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.