Brow, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

20121682715 Issued in NV

Legal business name

BROW, LLC

Doing business as

Advanced Home Health

Practice address

3750 S Jones Blvd
Suite 100
Las Vegas, NV 89103-2208

Phone

(702) 735-6209

Fax

(702) 735-6210

NPI assigned

Nov 16, 2012

Last updated

Nov 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ty S Wakefield

Title

Ceo

Phone

(702) 735-6209

Specialties & licenses 1

Addresses

Other names 1

• ADVANCED HOME HEALTH Doing business as

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1285978155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890240561",
            "telephone_number": "702-735-6209",
            "fax_number": "702-735-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 S JONES BLVD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032208",
            "telephone_number": "702-735-6209",
            "fax_number": "702-735-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-735-6209"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "20121682715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathon Broussard
• Kimberly R Broussard
• Shaquinta Broussard, RN
• Antoinette Brouwers
• John W Brouwers, MD
• Emily W Browand, APRN, FNP
• Beth Brower
• Wilma Brower
• Takeisha Gabriela Browhaw
• Brown Dental Office PC (Comfort Care Dental Group)

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.