Brown's Residential Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

7601107 Issued in OH

Legal business name

BROWN'S RESIDENTIAL SERVICES

Practice address

6033 Market Ave N
Canton, OH 44721-3122

Phone

(330) 497-9626

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Mark Douglas Brown I

Title

Ceo

Phone

(330) 497-9626

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Brown

  • Community Health Worker
  • North Canton, OH
  • NPI 1942744586
  NPD (past)

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1679016760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213122",
            "telephone_number": "330-497-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213122",
            "telephone_number": "330-497-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN'S RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-497-9626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "7601107",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany La'Shae Brown
• Tiffany Nichol Brown, PMHNP-BC
• Ty Shona Brown, LPN
• Vance Brown, RPH
• Yshica Brown
• Megan Brownlee, MA CCC SLP
• Carla Broyles, RN
• Melanie G Broyles
• Nyeisha Broyles
• Stephanie Bruce, APRN-CNP

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Canton, OH
• Providers in Canton, OH by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.