Provider Demographics
NPI:1245083971
Name:BROWN, TOSHIBA
Entity type:Individual
Prefix:
First Name:TOSHIBA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 ORCHID DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-2526
Mailing Address - Country:US
Mailing Address - Phone:504-234-1483
Mailing Address - Fax:
Practice Address - Street 1:1819 NUMA ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-4719
Practice Address - Country:US
Practice Address - Phone:504-460-9306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172A00000X, 174200000X, 253Z00000X, 177F00000X, 347C00000X, 311ZA0620X, 347B00000X, 372600000X, 374U00000X, 3747P1801X, 376K00000X
LA1245083971251G00000X, 253Z00000X, 311ZA0620X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172A00000XOther Service ProvidersDriver
No251G00000XAgenciesHospice Care, Community Based
No174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care
No177F00000XOther Service ProvidersLodging
No347C00000XTransportation ServicesPrivate Vehicle
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No347B00000XTransportation ServicesBus
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
No385H00000XRespite Care FacilityRespite Care
No376K00000XNursing Service Related ProvidersNurse's Aide