Individual provider · Type 1 NPI
Jacqueline M. Potokar, CERTIFIED CARE GIVER
Adult Companion · Gold Canyon, AZ
Practice location
5175 S Kings Ranch Rd
Gold Canyon, AZ 85118-3337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Companion Primary | 372600000X | ALTP0141 (AZ) |
Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
About NPI 1013234434
Jacqueline M. Potokar, CERTIFIED CARE GIVER's National Provider Identifier is 1013234434, issued on Apr 24, 2010. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Gold Canyon, AZ. The record was last updated on Apr 24, 2010.