Individual provider · Type 1 NPI
Nicole Johnson
Adult Companion · Mesa, AZ
Practice location
4225 E University Dr Apt 128
Mesa, AZ 85205-7092
Mailing address
1361 S Greenfield Rd Apt 1059
Mesa, AZ 85206-3391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Companion | 372600000X | LIC23-07617 (AZ) |
| Adult Companion Primary | 372600000X | None 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.
About NPI 1457096885
Nicole Johnson's National Provider Identifier is 1457096885, issued on Apr 29, 2022. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Mesa, AZ. The record was last updated on Feb 5, 2024.