Brownstone Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BROWNSTONE HEALTHCARE LLC

Practice address

12755 Orley Dr
Black Jack, MO 63033-4614

Phone

(314) 565-4708

Fax

(314) 741-1258

NPI assigned

Aug 22, 2020

Last updated

Aug 22, 2020By 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

Mr. Chester Lee Davidson Jr.

Title

Operating Manager

Phone

(314) 565-3750

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1598054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497367130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12755 ORLEY DR",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630334614",
            "telephone_number": "314-565-4708",
            "fax_number": "314-741-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 ORLEY DR",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630334614",
            "telephone_number": "314-565-4708",
            "fax_number": "314-741-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSTONE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-22",
        "last_updated": "2020-08-22",
        "certification_date": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "314-565-3750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.