Danielle Carlson

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

236 Foothill Dr
Brookville, OH 45309-1515

Phone

(937) 520-9288

NPI assigned

May 27, 2021

Last updated

May 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1801462270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LAKEVIEW CT",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453099208",
            "telephone_number": "937-520-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 FOOTHILL DR",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453091515",
            "telephone_number": "937-520-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookville Enterprises, Inc. (Brookhaven Nursing Care Center)
• Brookville Enterprises, Inc. (Brookhaven Nursing and Rehabilitation Center - Laboratory)
• Brookville Express Care & Wellness Center
• Brookville Local School District
• Erica Brown, APRN
• Nancy M Cera
• City of Brookville (Brookville Fire Department)
• Vicki Lynn Clark, RN, LSW
• Thomas Clausen, MPT
• Angela Dawn Daniels, CSA

• In Home Supportive Care Agency in Brookville, OH
• Providers in Brookville, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.