Individual provider · Type 1 NPI

Stacy Shanette Saljoughi, BA IN KINESIOLOGY

Attendant Care Provider · Fort Worth, TX

NPI number 1558052597 Active

Practice location

921 Crawford St Apt 4106
Fort Worth, TX 76104-3481

Mailing address

136 Flyaway Ln
Fort Worth, TX 76120-1634

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed
Private Vehicle 347C00000XNone listed
Personal Care Attendant 3747P1801XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1558052597

Stacy Shanette Saljoughi, BA IN KINESIOLOGY's National Provider Identifier is 1558052597, issued on May 19, 2023. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 19, 2025.