Individual provider · Type 1 NPI

Tracey Ann Knickerbocker

Adult Companion · Sacramento, CA

NPI number 1194254060 Active

Practice location

650 Howe Ave
Sacramento, CA 95825-4731

Call (916) 533-6067 Map

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 1194254060

Tracey Ann Knickerbocker's National Provider Identifier is 1194254060, issued on Jun 5, 2017. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Sacramento, CA. The record was last updated on Jan 21, 2026.