Individual provider · Type 1 NPI

Michael James Broussard

Adult Companion · Scottsbluff, NE

NPI number 1104767409 Active

Practice location

615 S Beltline Hwy E Ste B
Scottsbluff, NE 69361-3510

Call (402) 742-0311 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed

Adult Companion: 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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About NPI 1104767409

Michael James Broussard's National Provider Identifier is 1104767409, issued on Apr 2, 2026. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Scottsbluff, NE. The record was last updated on Apr 2, 2026.