Juanita Brown

Individual provider Active NPI In Home Supportive Care Agency · Munford, TN

NPI 1831935220 · NPPES record last updated Jul 3, 2024

Key facts

NPI
1831935220
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
1500 Munford Ave
Munford, TN 38058-0016
Phone
(901) 634-0744
NPI assigned
Jul 3, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Star Quality Home Care LLC In Home Supportive Care Current
since Jul 7, 2024
Accepting new patients
Star Quality Carrier Current Accepting new patients

Locations

1500 Munford Ave
Munford, TN 38058
Phone (901) 289-2797

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

1500 Munford Ave
Munford, TN 38058-0016

Mailing address

PO Box 304
Atoka, TN 38004-0304
Phone (901) 634-0744

Other providers in Munford, TN

All providers in Munford, TN · In Home Supportive Care Agency in Tennessee

Sources for this page

Verify at the official NPI Registry.