Individual provider · Type 1 NPI
Thenethong Sybangone, CNA
Adult Companion · Loganville, GA
NPI number
1609540319
Active
Practice location
2420 Worth Ave
Loganville, GA 30052-3660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Companion Primary | 372600000X | None 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.
Another provider at this address
About NPI 1609540319
Thenethong Sybangone, CNA's National Provider Identifier is 1609540319, issued on Aug 5, 2021. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Loganville, GA. The record was last updated on Sep 11, 2025.