Active NPI
Deborah Brown
- Respite Care Camp
- College Park, MD
National Provider Identifier
1174948798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care Camp
- License
- 401360300
- Practice address
- 9600 Milestone Way Apt 2021
College Park, MD 20740-4263 - Phone
- (443) 254-7175
- NPI assigned
- Feb 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care Camp | 385HR2050X | 401360300 | MD | Primary |
Addresses
Primary practice location
9600 Milestone Way Apt 2021
College Park, MD 20740-4263
Mailing address
9600 Milestone Way Apt 2021
College Park, MD 20740-4263
Phone (443) 254-7175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401360300 | Medicaid | MD |
Other names 1
- Ms. Deborah Brown
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401360300 | MD | MD | Respite Care Camp |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1174948798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 MILESTONE WAY APT 2021",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207404263",
"telephone_number": "443-254-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 MILESTONE WAY APT 2021",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207404263",
"telephone_number": "443-254-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DEBORAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-19",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2050X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care Camp",
"state": "MD",
"license": "401360300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401360300",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "BROWN",
"prefix": "MS.",
"credential": "MANAGER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in College Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.