Individual provider · Type 1 NPI

Crystal Clark

Adult Companion · Rochester, NY

NPI number 1467014894 Active

Practice location

153 Brambury Dr Apt D
Rochester, NY 14621-1820

Mailing address

PO Box 64283
Rochester, NY 14624-6683

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide 376K00000XNYGA0401903R (NY)
Adult Companion Primary 372600000XNone listed
Chore Provider 372500000XNone 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 1467014894

Crystal Clark's National Provider Identifier is 1467014894, issued on Jul 6, 2019. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Rochester, NY. The record was last updated on Jul 6, 2019.