Individual provider · Type 1 NPI

Jithendar Kancharla

Adult Companion · Suwanee, GA

NPI number 1861082471 Active

Practice location

1840 Apollo Dr
Suwanee, GA 30024-5474

Fax (866) 301-3071

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 1861082471

Jithendar Kancharla's National Provider Identifier is 1861082471, issued on Jan 19, 2021. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Suwanee, GA. The record was last updated on Jan 19, 2021.