Brothers Care Group Homes LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BROTHERS CARE GROUP HOMES LLC

Practice address

611 Beauhaven LN
Waxhaw, NC 28173-7451

Phone

(617) 877-1429

NPI assigned

Jun 1, 2024

Organization subpart

No

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

Authorized official

Name

Kel Delphine Njike Tah

Title

Manager

Phone

(617) 877-1429

Specialties & licenses 2

Addresses

Other names 1

• Brothers Care Group Homes LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kela Delphine Njike Tah

  • Pharmacist
  • Fayetteville, NC
  • NPI 1497138275
  NPD

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1407697865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BEAUHAVEN LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737451",
            "telephone_number": "617-877-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BEAUHAVEN LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737451",
            "telephone_number": "617-877-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS CARE GROUP HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "NJIKE  TAH",
        "authorized_official_first_name": "KEL",
        "authorized_official_middle_name": "DELPHINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-877-1429"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brothers Care Group Homes LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Brothers Care Group Homes LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Andrew Jackson Branch, DDS
• Amanda Cummings Brandenburg, PH.D.
• Gina Brannagan
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• Kelley Klaswick Brewer
• Abigail Valenta Brown, OTD, OTR/L
• Ethan Gabriel Brown, PTA
• Building Blocks
• Laken Lashelle Burris
• Anna Buttrey, MA, CCC - SLP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.