Individual provider · Type 1 NPI

Bohdan Russum

Adult Companion · Grass Valley, CA

NPI number 1104771526 Active

Practice location

500 Crown Point Cir
Grass Valley, CA 95945-9561

Call (415) 847-8420 Map

Mailing address

10560 Kearney Ct
Smartsville, CA 95977-9556

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone 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 1104771526

Bohdan Russum's National Provider Identifier is 1104771526, issued on Mar 2, 2026. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Grass Valley, CA. The record was last updated on Mar 2, 2026.