Individual provider · Type 1 NPI

Shadesha Johnson

Adult Companion · West Bloomfield, MI

NPI number 1215519483 Active

Practice location

6725 Daly Rd Unit 251661
West Bloomfield, MI 48325-3268

Mailing address

PO Box 251661
West Bloomfield, MI 48325-1661

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 1215519483

Shadesha Johnson's National Provider Identifier is 1215519483, issued on Apr 26, 2021. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in West Bloomfield, MI. The record was last updated on Sep 13, 2024.