PHILLIP BROWN
NPI 1164045068
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hazelwood, MO

Active since May 26, 2020
4954 HURSTBOROUGH CT, HAZELWOOD, MO 63042(314) 566-8301 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phillip Brown NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP BROWN (NPI 1164045068) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Hazelwood, Missouri and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1164045068
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NamePHILLIP BROWN
Location Address4954 HURSTBOROUGH CTHazelwood, MO 63042-1592
Mailing Address4954 Hurstborough CtHazelwood, MO 63042-1592 · (314) 566-8301
Sole ProprietorYes
Enumeration DateMay 26, 2020
NPPES CertifiedMay 26, 2020
NPI 1164045068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4954 HURSTBOROUGH CT, Hazelwood, MO 63042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Brown's NPI number?

The NPI number for Phillip Brown is 1164045068. It was assigned to this individual provider in the NPPES registry on May 26, 2020.

Where is Phillip Brown located?

Phillip Brown practices at 4954 Hurstborough Ct, Hazelwood, MO 63042. The listed phone number is (314) 566-8301.

What is Phillip Brown's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Phillip Brown was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.