Individual provider · Type 1 NPI
Brent Fondshay Broome, CNA
Attendant Care Provider · Moselle, MS
Practice location
6 David Patterson Rd
Moselle, MS 39459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Attendant Care Provider Primary | 3747A0650X | None listed |
Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
3 other providers at this address
About NPI 1144548744
Brent Fondshay Broome, CNA's National Provider Identifier is 1144548744, issued on May 7, 2010. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Moselle, MS. The record was last updated on Jan 17, 2026.