Individual provider · Type 1 NPI

Brooke Ball, CNA

Attendant Care Provider · Poplar Grove, IL

NPI number 1366063539 Active

Practice location

203 Constitution Dr SW # B
Poplar Grove, IL 61065-8729

Other practice locations

  • 4919 Rolex Pkwy, Loves Park, IL 61111-6223 · (815) 355-5369

Specialties and licenses

TaxonomyCodeLicense
Nursing Care Agency 251J00000XNone listed
Attendant Care Provider Primary 3747A0650XNone 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.

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About NPI 1366063539

Brooke Ball, CNA's National Provider Identifier is 1366063539, issued on Apr 29, 2020. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Poplar Grove, IL. The record was last updated on Apr 29, 2020.