Individual provider Active NPI

Lana D Brown

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Gadsden, AL
National Provider Identifier
1336700707
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
3372 Issued in AL
Practice address
1354 Forrest Ave
Gadsden, AL 35901-3437
Phone
(256) 390-4174
Fax
(256) 203-4920
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 3372 AL Primary

Addresses

Primary practice location

1354 Forrest Ave
Gadsden, AL 35901-3437

Mailing address

1354 Forrest Ave
Gadsden, AL 35901-3437
Phone (256) 390-4174

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

LicenseStateTypeSpecialty
3372ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LDB Enterprises LLC.Dba Heritagehomes Residential Treatment Facility, Intellectual and/Or Developmental Disabilities PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1336700707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 FORREST AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013437",
            "telephone_number": "256-390-4174",
            "fax_number": "256-203-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 FORREST AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013437",
            "telephone_number": "256-390-4174",
            "fax_number": "256-203-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LANA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AL",
            "license": "3372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.