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NPISignal

Individual Healthcare Provider

Melvin M Anderson

NPI Record: ActiveSupports Brokerage
NPI1942076195
Port Gibson, Mississippi

Provider's NPPES record last updated: November 29, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1942076195
Primary Specialty
Supports Brokerage
Practice Location
Port Gibson, Mississippi
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 12:05 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Supports Brokerage

    Agencies

    Primary

    A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.

    Taxonomy code 251X00000X
  • Military Health Care Provider

    Other Service Providers

    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

    Taxonomy code 171000000X
  • Local Education Agency (LEA)

    Agencies

    The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

    Taxonomy code 251300000X
  • Home Health Aide

    Nursing Service Related Providers

    A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

    Taxonomy code 374U00000X
  • Homemaker

    Nursing Service Related Providers

    An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

    Taxonomy code 376J00000X
  • Respite Care

    Respite Care Facility

    Definition to come.

    Taxonomy code 385H00000X

Practice Locations

Practice Location

507 Market St

Port Gibson, Mississippi 39150-2041

Phone: (601) 618-3728

Additional Practice Location

301 E South St

Kosciusko, Mississippi 39090-4635

Phone: (662) 516-8007

Fax: (662) 516-8021

Record Information

Enumeration Date
November 29, 2023
Provider's NPPES Record Last Updated
November 29, 2023
Certification Date
November 29, 2023
NPISignal NPPES Dataset
August 2026

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