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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROF. SHANTA BRUNSON, HOME HEALTH AGENCY

Active Sole Proprietor

PROF. SHANTA BRUNSON, HOME HEALTH AGENCY is a Community Health Worker healthcare provider located in GARY, Indiana. NPI 1336755610 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · GARY, IN

Registration Details

NPI Number
1336755610
Provider Type
Individual
Gender
Female
NPI Issued
Sep 22, 2020 (5.9243062028031 yrs)
Last Updated
Sep 22, 2020
License
229006 (IN)
Sole Proprietor
Yes

Practice Information

Address
601 S LAKE ST
GARY, IN, 464032937
Browse IN providers · Browse ZIP 46403
Phone
2194131220
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in GARY, IN

Name Credential NPI
MS. VERLILIA ANN PETTIGREW LSW, MSW 1881974608
BRENDA ANN MCDADE 1396022018
OLUDOLAPO AMORAN 1770974768
LISA RIAS 1194256131
SHALONDA HARPER 1306377353
DEBORAH JEAN MOORE 1568929834
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.