Organization Active NPI

Broussard Five, Inc

  • In Home Supportive Care Agency
  • Conroe, TX
National Provider Identifier
1508757790
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BROUSSARD FIVE, INC
Practice address
525 Woodland Square Blvd Ste 250
Conroe, TX 77384-2212
Phone
(936) 209-3955
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Grant Broussard
Title
President
Phone
(936) 209-3955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

525 Woodland Square Blvd Ste 250
Conroe, TX 77384-2212

Mailing address

14120 Redfish Lake CT
Conroe, TX 77384-2032
Phone (936) 209-3955

Other names 1

  • Seniors Helping Seniors Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1508757790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 REDFISH LAKE CT",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773842032",
            "telephone_number": "936-209-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WOODLAND SQUARE BLVD STE 250",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773842212",
            "telephone_number": "936-209-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUSSARD FIVE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-209-3955"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seniors Helping Seniors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.