Individual provider · Type 1 NPI

Jacob Shane

Personal Care Attendant · Dearborn Heights, MI

NPI number 1497699706 Active

Practice location

4907 Kingston St
Dearborn Heights, MI 48125-3243

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1497699706

Jacob Shane's National Provider Identifier is 1497699706, issued on Apr 16, 2026. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Dearborn Heights, MI. The record was last updated on Apr 16, 2026.