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BOUNYAVETH PHACHOMPHON
NPI 1477413011
Chore Provider in South Sioux City, NE

Active since November 17, 2025
320 BROADMOOR DR, SOUTH SIOUX CITY, NE 68776(402) 508-0009 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bounyaveth Phachomphon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOUNYAVETH PHACHOMPHON (NPI 1477413011) is an individual chore provider provider in South Sioux City, Nebraska and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1477413011
Entity TypeIndividualMale
Primary Taxonomy372500000X
Provider Legal NameBOUNYAVETH PHACHOMPHON
Location Address320 BROADMOOR DRSouth Sioux City, NE 68776-3806
Mailing Address320 Broadmoor DrSouth Sioux City, NE 68776-3806
Phone(402) 508-0009
Sole ProprietorNo
Enumeration DateNovember 17, 2025
NPPES CertifiedNovember 16, 2025
✔ NPI 1477413011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChore ProviderNursing Service Related Providers
Taxonomy Code372500000X
Definition
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
320 BROADMOOR DR, South Sioux City, NE 68776
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bounyaveth Phachomphon's NPI number?

The NPI number for Bounyaveth Phachomphon is 1477413011. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Where is Bounyaveth Phachomphon located?

Bounyaveth Phachomphon practices at 320 Broadmoor Dr, South Sioux City, NE 68776. The listed phone number is (402) 508-0009.

What is Bounyaveth Phachomphon's specialty?

The primary specialty registered for this NPI is Chore Provider with taxonomy code 372500000X.

When was this NPI record last updated?

The NPPES record for Bounyaveth Phachomphon was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.