Individual provider · Type 1 NPI

Theodora McQueen

Adult Companion · Upland, CA

NPI number 1083008387 Active

Practice location

470 Silverwood Ave Apt D
Upland, CA 91786-5111

Mailing address

2100 Shiloh Valley Dr NW, #1137
Kennesaw, GA 30144-4514

Specialties and licenses

TaxonomyCodeLicense
Chore Provider 372500000XNone listed
Adult Companion Primary 372600000XNone listed
Attendant Care Provider 3747A0650XNone listed
Personal Care Attendant 3747P1801XNone listed
Home Health Aide 374U00000XNone listed
Homemaker 376J00000XNone listed
Nurse's Aide 376K00000XNone 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.

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About NPI 1083008387

Theodora McQueen's National Provider Identifier is 1083008387, issued on Mar 24, 2015. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Upland, CA. The record was last updated on Mar 9, 2017.