Individual provider · Type 1 NPI

Lisa Marie Carrillo, CERTIFIED PFA

Adult Companion · Apple Valley, CA

NPI number 1023848504 Active

Practice location

18818 US Highway 18
Apple Valley, CA 92307-2323

Call (760) 995-8891 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Adult Companion Primary 372600000XMPSSVGHYZX (CA)

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.

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About NPI 1023848504

Lisa Marie Carrillo, CERTIFIED PFA's National Provider Identifier is 1023848504, issued on Aug 7, 2024. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Apple Valley, CA. The record was last updated on May 2, 2025.