Individual provider · Type 1 NPI

Matthew Wagner

Adult Companion · Sacramento, CA

NPI number 1740366350 Active

Practice location

4600 47th Ave Ste 111
Sacramento, CA 95824-3923

Call (916) 393-1222 Map

Mailing address

10741 Fair Oaks Blvd Apt 110
Fair Oaks, CA 95628-7903

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Specialist 174400000XNone listed
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 1740366350

Matthew Wagner's National Provider Identifier is 1740366350, issued on Oct 27, 2006. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Sacramento, CA. The record was last updated on Jun 4, 2025.