Individual provider · Type 1 NPI

Sandra Lynette Bolden

Adult Companion · Fairfield, CA

NPI number 1083272918 Active

Practice location

275 Beck Ave
Fairfield, CA 94533-6804

Call (707) 208-9996 Map

Fax (707) 427-2774

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XMPSS-4N5QTH (CA)
Peer Specialist 175T00000XMPSS-4N5QTH (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 1083272918

Sandra Lynette Bolden's National Provider Identifier is 1083272918, issued on Jun 5, 2019. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Fairfield, CA. The record was last updated on Jan 29, 2026.