Provider Demographics
NPI:1598641581
Name:THE BROWNSTONE AT PARK CROSSING
Entity type:Organization
Organization Name:THE BROWNSTONE AT PARK CROSSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-530-0277
Mailing Address - Street 1:10408 AVONDALE AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-7843
Mailing Address - Country:US
Mailing Address - Phone:704-530-0277
Mailing Address - Fax:
Practice Address - Street 1:10408 AVONDALE AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-7843
Practice Address - Country:US
Practice Address - Phone:704-530-0277
Practice Address - Fax:704-900-5648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility