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Bryan P Gougis
Homemaker in Hammond, Indiana
NPI 1629507124

Bryan P Gougis is a Homemaker based in Calumet City, IN. Bryan P Gougis practices in Hammond, IN. The NPI Number for Bryan P Gougis is 1629507124 and holds a License No. 15-013746-1 (Indiana).

The current practice location address for Bryan P Gougis is 3440 171St Pl, Hammond, IN and can be reached out via phone at 888-858-7372 and via fax at 888-858-7372. You can also correspond with Bryan P Gougis through the mailing address at 279 MERRILL AVE, CALUMET CITY, IL - 60409-1716 (mailing address contact number: 773-209-1968).

Location: 3440 171St Pl, Hammond, IN, 60409-1716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629507124
Provider Name
Bryan P Gougis
Credential
Provider Entity Type
Individual
Gender
Male
Address
3440 171St Pl, Hammond, IN, 60409-1716
Phone Number
888-858-7372
Fax Number
888-858-7372
Provider Enumeration Date
06/08/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201352780A 05 IN
institution
Provider Business Practice Location Address Details
Address
3440 171St Pl
City
Hammond
State
Indiana
Zip
46323-2807
Phone Number
888-858-7372
Fax Number
888-858-7372
person
Provider Business Mailing Address Details
Address
3440 171St Pl
City
Hammond
State
Indiana
Zip
46323-2807
Phone Number
888-858-7372
Fax Number
888-858-7372
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
15-013746-1 (Indiana)
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 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
15-013746-1 (Indiana)
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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