Individual provider · Type 1 NPI

Latresa Renee Sims

Attendant Care Provider · Portage, IN

NPI number 1366041121 Active

Practice location

1777 Armstrong St. Suite C.
Portage, IN 46368

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant 3747P1801XNone listed
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1366041121

Latresa Renee Sims's National Provider Identifier is 1366041121, issued on Oct 22, 2020. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Portage, IN. The record was last updated on Mar 4, 2026.