Individual provider · Type 1 NPI

Charles Fullerton

Adult Companion · Superior, NE

NPI number 1699657817 Active

Practice location

207 N Central Ave
Superior, NE 68978-1736

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone 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 1699657817

Charles Fullerton's National Provider Identifier is 1699657817, issued on Jul 21, 2025. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Superior, NE. The record was last updated on Jul 21, 2025.