Organization Active NPI

Mbrown Enterprise LLC

  • Community/Behavioral Health Agency
  • Kennesaw, GA
National Provider Identifier
1962889998
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MBROWN ENTERPRISE LLC
Practice address
1750 Shiloh Rd NW
Apt 134
Kennesaw, GA 30144-6507
Phone
(314) 497-7510
NPI assigned
Apr 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Mr. Mikel Brown
Title
Owner
Phone
(314) 497-7510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1750 Shiloh Rd NW
Apt 134
Kennesaw, GA 30144-6507

Mailing address

1750 Shiloh Rd NW
Apt 134
Kennesaw, GA 30144-6507

Other names 1

  • Rebirth Transition Program Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1962889998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 SHILOH RD NW",
            "address_2": "APT 134",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 SHILOH RD NW",
            "address_2": "APT 134",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446507",
            "telephone_number": "314-497-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBROWN ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-497-7510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebirth Transition Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.