Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prof. Shanta Brunson, HOMEHEALTHAGENCY

Individual provider Community Health Worker · NPI 1336755610

Prof. Shanta Brunson, HOMEHEALTHAGENCY is a Community Health Worker in Gary, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2020
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Practice location Address checks out

601 S Lake St
Gary, IN 46403-2937
Phone: (219) 413-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 229006 (IN)

Record details

NPI number1336755610
Entity typeIndividual (Type 1)
GenderFemale
Credentials HOMEHEALTHAGENCY
Sole proprietorYes
NPI enumeratedSeptember 22, 2020
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 17, 2020

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