Individual provider · Type 1 NPI

Shondell Fuller

Adult Companion · Fairfield, CA

NPI number 1417836974 Active

Practice location

2261 S Watney Way
Fairfield, CA 94533-6757

Call (530) 601-0026 Map

Mailing address

PO Box 1011
Davis, CA 95617

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 1417836974

Shondell Fuller's National Provider Identifier is 1417836974, issued on Aug 28, 2025. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Fairfield, CA. The record was last updated on Aug 28, 2025.