Tawana Brown

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

824 Portsmouth Ave
Westchester, IL 60154-2607

Phone

(877) 522-2288

NPI assigned

Nov 28, 2022

Last updated

Mar 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• 1Foryou

  • Adult Day Care Clinic/Center
  • Westchester, IL
  • NPI 1164384194
  NPD Authorized official
• Cannaluv

  dba Impaczo

  • Foster Care Agency
  • Baldwin, MI
  • NPI 1326827619
  NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1235849654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 W CHEYENNE AVE APT B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084784",
            "telephone_number": "702-900-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 PORTSMOUTH AVE",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542607",
            "telephone_number": "877-522-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TAWANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00002615163",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00002615163",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Body Genesis Holisitc Health and Wellness Center (Body Genesis Center For Integrative Medicine)
• Tess Ann Boghossian
• Benjamin O Border, DPT
• Heather M. Brown, M.D.
• John William Brown, DPT
• Tichina Monique Burnett, LCPC
• C & C Pediatrics SC
• C. D. Davis Enterprise
• C&K Home Services LLC
• Juan Lawrence Cabatu, MSN/MBA, NP-C

• Homemaker in Westchester, IL
• Providers in Westchester, IL by specialty
• Homemaker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.