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Byron Russell
Homemaker in Hattiesburg, Mississippi
NPI 1205222825

Byron Russell is a Homemaker based in Hattiesburg, MS. Byron Russell practices in Hattiesburg, MS. The NPI Number for Byron Russell is 1205222825 and holds a License No. (Mississippi).

The current practice location address for Byron Russell is 713 Ronie St, Hattiesburg, MS and can be reached out via phone at 601-583-9401. You can also correspond with Byron Russell through the mailing address at 713 RONIE ST, HATTIESBURG, MS - 39401-4345 (mailing address contact number: 601-583-9401).

Location: 713 Ronie St, Hattiesburg, MS, 39401-4345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205222825
Provider Name
Byron Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
713 Ronie St, Hattiesburg, MS, 39401-4345
Phone Number
601-583-9401
Fax Number
Provider Enumeration Date
04/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
713 Ronie St
City
Hattiesburg
State
Mississippi
Zip
39401-4345
Phone Number
601-583-9401
Fax Number
person
Provider Business Mailing Address Details
Address
713 Ronie St
City
Hattiesburg
State
Mississippi
Zip
39401-4345
Phone Number
601-583-9401
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Chore Provider
Speciality
-
Taxonomy
372500000X
License No.
()
Definition
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
person
Provider's Taxonomy Details 4
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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