Provider Demographics
NPI:1609246230
Name:BROWNSTONE HEALTHCARE
Entity Type:Organization
Organization Name:BROWNSTONE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:JACQUES- HUNTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP-BC
Authorized Official - Phone:352-293-5742
Mailing Address - Street 1:5431 LLOYD DR
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34607-2125
Mailing Address - Country:US
Mailing Address - Phone:352-293-5742
Mailing Address - Fax:
Practice Address - Street 1:5431 LLOYD DR
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34607-2125
Practice Address - Country:US
Practice Address - Phone:352-293-5742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROWNSTONE HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health