Mrs.Monique Brunson, CERTIFIED NURSE AID

Individual provider Active NPI Personal Care Attendant · Hernando, MS

NPI 1487217410 · NPPES record last updated Nov 23, 2023

Key facts

NPI
1487217410
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
10042 Emerald Forest Dr
Hernando, MS 38632-6404
Phone
(662) 368-2575
Fax
(662) 590-0934
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
10085872MSMDHome Health Aide
102382TNMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
You Are Loved Home Health Care LLC Home Health Current
since Feb 8, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X
Attendant Care Provider 3747A0650X
Religious Nonmedical Nursing Personnel 374T00000X TN
Religious Nonmedical Nursing Personnel 374T00000X MS
Home Health Aide 374U00000X 10085872 MS
Homemaker 376J00000X
Nurse's Aide 376K00000X 102382 TN
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

10042 Emerald Forest Dr
Hernando, MS 38632-6404

Mailing address

10042 Emerald Forest Dr
Hernando, MS 38632-6404
Phone (901) 290-2048

Other names

  • Mona Brunson Professional name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address YRLHHC1@proton.me Health Information Exchange (HIE) You are loved home health care LLC
Direct Messaging Address YRLHHC1@proton.me Health Information Exchange (HIE)

Other providers in Hernando, MS

All providers in Hernando, MS · Personal Care Attendant in Mississippi

Sources for this page

Verify at the official NPI Registry.