Active NPI
Jason Q Brown
- Home Health Aide
- Van Buren, AR
National Provider Identifier
1205331147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 7029 Uniontown Hwy
Van Buren, AR 72956-8214 - Phone
- (479) 285-5241
- NPI assigned
- Mar 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | AR5640 | ||
| Personal Care Attendant | 3747P1801X | AR5640 | ||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
7029 Uniontown Hwy
Van Buren, AR 72956-8214
Mailing address
7029 Uniontown Hwy
Van Buren, AR 72956-8214
Phone (479) 285-5495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AR5640 | Medicaid | AR |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icare for Seniors in Texas | Current | Accepting new patients | |
| Vanessa Homecare for Seniors | Current | Accepting new patients |
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 and National Provider Directory roles.
-
dba ICare for Seniors
- In Home Supportive Care Agency
- Sugar Land, TX
- NPI 1316669179
-
- In Home Supportive Care Agency
- Sugar Land, TX
- NPI 1093431793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1205331147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7029 UNIONTOWN HWY",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729568214",
"telephone_number": "479-285-5495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7029 UNIONTOWN HWY",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729568214",
"telephone_number": "479-285-5241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JASON",
"middle_name": "Q",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-23",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": "AR5640",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": "AR5640",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AR5640",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.