Dyshai Mims is an Adult Companion based in Bridgeport, CT. Dyshai Mims practices in Bridgeport, CT. The NPI Number for Dyshai Mims is 1598281503 and holds a License No. NA9988429 (Connecticut).
The current practice location address for Dyshai Mims is 182 Hanover St, Bridgeport, CT and can be reached out via phone at 203-572-6265.
Location: 182 Hanover St, Bridgeport, CT, 06606-1409
Provider Profile Details
NPI Number
1598281503
Provider Name
Dyshai Mims
Credential
Provider Entity Type
Individual
Gender
Female
Address
182 Hanover St, Bridgeport, CT, 06606-1409
Phone Number
203-572-6265
Fax Number
Provider Enumeration Date
08/21/2017
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065775 | 05 | CT |
Provider Business Practice Location Address Details
Address
182 Hanover St
City
State
Zip
06604-3706
Phone Number
203-572-6265
Fax Number
Provider Business Mailing Address Details
Address
182 Hanover St
City
State
Zip
06604-3706
Phone Number
203-572-6265
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
NA9988429 (Connecticut)
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.
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