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Mr. Andrea Broussard
Home Health Aide in Gulfport, Mississippi
NPI 1538605027

Andrea Broussard is a Home Health Aide based in Gulfport, MS. Andrea Broussard practices in Gulfport, MS. The NPI Number for Andrea Broussard is 1538605027 and holds a License No. (Mississippi).

The current practice location address for Andrea Broussard is 406 Pass Rd, Gulfport, MS and can be reached out via phone at 286-699-8402. You can also correspond with Andrea Broussard through the mailing address at 406 PASS RD, GULFPORT, MS - 39507-2901 (mailing address contact number: 286-699-9840).

Location: 406 Pass Rd, Gulfport, MS, 39507-2901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538605027
Provider Name
Andrea Broussard
Credential
Provider Entity Type
Individual
Gender
Male
Address
406 Pass Rd, Gulfport, MS, 39507-2901
Phone Number
286-699-8402
Fax Number
Provider Enumeration Date
01/09/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104736701 05 MS
institution
Provider Business Practice Location Address Details
Address
406 Pass Rd
City
Gulfport
State
Mississippi
Zip
39507
Phone Number
286-699-8402
Fax Number
person
Provider Business Mailing Address Details
Address
406 Pass Rd
City
Gulfport
State
Mississippi
Zip
39507-2901
Phone Number
286-699-9840
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Personal Emergency Response Attendant
Speciality
-
Taxonomy
146D00000X
License No.
(Mississippi)
Definition
Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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