Individual provider · Type 1 NPI
Angelique Lasha Mathis
Adult Companion · Berrien Center, MI
Practice location
9556 Pucker St
Berrien Center, MI 49102-9717
Fax (269) 213-3303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Companion Primary | 372600000X | AS1110418243 (MI) |
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 1457177644
Angelique Lasha Mathis's National Provider Identifier is 1457177644, issued on Dec 3, 2024. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Berrien Center, MI. The record was last updated on Dec 3, 2024.