JBD HOME HEALTH AIDE
NPI 1013773118
Home Health Aide in Brockton, MA

Active since February 26, 2024
15 MIDLAND ST, BROCKTON, MA 02301(774) 297-0191 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Home Health Aide

About JBD HOME HEALTH AIDE

This page provides the complete NPI Profile along with additional information for Jbd Home Health Aide, a provider established in Brockton, Massachusetts operating as a Home Health Aide. The healthcare provider is registered in the NPI registry with number 1013773118 assigned on February 2024. The practitioner's primary taxonomy code is 374U00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Jbd Home Health Aide operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jean Bradley Derenoncourt (Ceo)

NPI
1013773118 Verify this NPI
Provider Name
JBD HOME HEALTH AIDE
Entity Type
Organization
Location Address
15 MIDLAND ST BROCKTON, MA 02301
Location Phone
(774) 297-0191
Mailing Address
15 MIDLAND ST BROCKTON, MA 02301
Mailing Phone
(774) 297-0191
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2024
Last Update Date
01-24-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health Aide

Taxonomy Code
374U00000X
Type
Nursing Service Related Providers
Taxonomy Description
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEAN BRADLEY DERENONCOURT

Authorized Official Title
CEO
Authorized Official Phone
(508) 316-9709

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013773118, enumerated as an "organization" on February 26, 2024.

The provider is located at 15 MIDLAND ST BROCKTON, MA 02301 and the phone number is (774) 297-0191.

Home Health Aide with taxonomy code 374U00000X.