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Brent Fondshay Broome, CNA
Attendant Care Provider in Moselle, Mississippi
NPI 1144548744

Brent Fondshay Broome is an Attendant Care Provider based in Moselle, MS and is specialized in Attendant Care Provider. Brent Fondshay Broome practices in Moselle, MS and has the professional credentials of CNA. The NPI Number for Brent Fondshay Broome is 1144548744 and holds a License No. A034616 (Mississippi).

The current practice location address for Brent Fondshay Broome is 6 David Patterson Rd, Moselle, MS and can be reached out via phone at 601-596-3786.

Location: 6 David Patterson Rd, Moselle, MS, 39459-9439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144548744
Provider Name
Brent Fondshay Broome
Credential
CNA
Provider Entity Type
Individual
Gender
Male
Address
6 David Patterson Rd, Moselle, MS, 39459-9439
Phone Number
601-596-3786
Fax Number
Provider Enumeration Date
05/07/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6 David Patterson Rd
City
Moselle
State
Mississippi
Zip
39459
Phone Number
601-596-3786
Fax Number
person
Provider Business Mailing Address Details
Address
6 David Patterson Rd
City
Moselle
State
Mississippi
Zip
39459
Phone Number
601-596-3786
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
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Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
A034616 (Mississippi)
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Nurse's Aide
Speciality
-
Taxonomy
376K00000X
License No.
A034616 (Mississippi)
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
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