Dejae Antrell Broomfield

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

320 Progressive Blvd
Houma, LA 70360-4069

Phone

(985) 303-6090

Fax

(985) 872-0985

NPI assigned

Mar 11, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gulf Coast Teaching Family Services, Inc.

  • Foster Care Agency
  • Houma, LA
  • NPI 1043531312
  NPD (past)
• Gulf Coast Teaching Family Services, Inc.

  • In Home Supportive Care Agency
  • Houma, LA
  • NPI 1659643567
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1407481393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PROGRESSIVE BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604069",
            "telephone_number": "985-303-6090",
            "fax_number": "985-872-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PROGRESSIVE BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604069",
            "telephone_number": "985-303-6090",
            "fax_number": "985-872-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOMFIELD",
        "first_name": "DEJAE",
        "middle_name": "ANTRELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Star Homecare LLC
• Brighter Futures Therapy, LLC
• Broadmoor Drug Center Inc
• Richard L Brooke, MD
• Sarah Larke Brooke, LCSW
• Alison Ann Broussard
• Kimberly Marie Broussard, PA
• Nina Claire Broussard, NP
• Anh Brown
• Ashanta Brown

• Personal Care Attendant in Houma, LA
• Providers in Houma, LA by specialty
• Personal Care Attendant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.