Individual provider · Type 1 NPI
Tina Marie Gordon
Adult Companion · Queen Creek, AZ
NPI number
1053021733
Active
Practice location
4657 E Odessa Dr
Queen Creek, AZ 85140-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Adult Companion Primary | 372600000X | None listed |
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 1053021733
Tina Marie Gordon's National Provider Identifier is 1053021733, issued on Dec 2, 2022. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Queen Creek, AZ. The record was last updated on Dec 2, 2022.