Individual provider · Type 1 NPI

Stacy Len Whitzell

Adult Companion · Chattanooga, TN

NPI number 1508240565 Active

Practice location

5708 Uptain Rd Ste 1100
Chattanooga, TN 37411-5687

Mailing address

PO Box 770
Trenton, GA 30752-0770

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant 3747P1801X1000000016408 (TN)
Adult Companion Primary 372600000X1000000016408 (TN)

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 1508240565

Stacy Len Whitzell's National Provider Identifier is 1508240565, issued on Jul 19, 2015. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Chattanooga, TN. The record was last updated on Jul 19, 2015.