Individual provider · Type 1 NPI

Ebony Nicole Peterson

Adult Companion · Fairfield, CA

NPI number 1447138235 Active

Practice location

2420 Martin Rd Ste 200
Fairfield, CA 94534-8610

Call (707) 399-4520 Map

Mailing address

2460 Clay Bank Rd Bldg 8
Fairfield, CA 94533-1655

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
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 1447138235

Ebony Nicole Peterson's National Provider Identifier is 1447138235, issued on Aug 21, 2025. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Fairfield, CA. The record was last updated on Jul 10, 2026.