Individual provider · Type 1 NPI

Nicole A. Mooney

Personal Care Attendant · Grand Rapids, MI

NPI number 1104423441 Active

Practice location

4218 Burton St SE
Grand Rapids, MI 49546-6121

Call (616) 301-8000 Map

Other practice locations

  • 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 · (248) 436-4400

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Personal Care Attendant Primary 3747P1801XNone listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1104423441

Nicole A. Mooney's National Provider Identifier is 1104423441, issued on Oct 8, 2020. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 14, 2022.