Brown Residential Support Services Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

BROWN RESIDENTIAL SUPPORT SERVICES INC

Practice address

5523 Windy Valley Dr
Charlotte, NC 28208-1191

Phone

(704) 391-5588

Fax

(704) 391-5588

NPI assigned

Sep 19, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Anthony C Brown, MA

Title

Ceo/Executive Director

Phone

(704) 391-5588

Specialties & licenses 1

Addresses

Tax ID family

Brown Residential Support Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brown Residential Support Services, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Charlotte, NC
  • NPI 1326226572
  NPD tax ID

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1740430388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 WINDY VALLEY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282081191",
            "telephone_number": "704-391-5588",
            "fax_number": "704-391-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5523 WINDY VALLEY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282081191",
            "telephone_number": "704-391-5588",
            "fax_number": "704-391-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN RESIDENTIAL SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-391-5588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Broussard, DPM
• Aaron Jeffrey Daniel Brower, PTA
• Taylor Renee Brower, LCSWA
• Brown Clinical Services
• Misty Brown Pearson, M.ED, LCMHC
• Brown Residential Support Services, Inc.
• Miranda Denise Brown-Meaders, LPA
• Jennifer Paige Brown-Schreiber, MSN, FNP-C
• Alex Brown
• Aleyah Brown

• All providers in Charlotte, NC
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.