Provider Demographics
NPI:1700252087
Name:BROOKS, MONICA
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:BROOKS
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 1:5425 PRINCE EDWARD HWY
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:VA
Mailing Address - Zip Code:23960-8098
Mailing Address - Country:US
Mailing Address - Phone:434-607-1322
Mailing Address - Fax:434-574-6858
Practice Address - Street 1:5425 PRINCE EDWARD HWY
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:VA
Practice Address - Zip Code:23960-8098
Practice Address - Country:US
Practice Address - Phone:434-607-1322
Practice Address - Fax:434-574-6858
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-20
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care