Individual provider · Type 1 NPI

Jequeena Denese Foreman, CNA

Adult Companion · New Haven, CT

NPI number 1992120679 Active

Practice location

17 Vernon St # 200
New Haven, CT 06519-1342

Fax (203) 891-7854

Mailing address

17 Vernon St. #200
New Haven, CT 06519

Specialties and licenses

TaxonomyCodeLicense
Chore Provider 372500000X372500000X (CT)
Adult Companion Primary 372600000X376K00000X (CT)
Adult Companion 372600000X372600000X (CT)
Attendant Care Provider 3747A0650X3747A0650X (CT)
Personal Care Attendant 3747P1801X3747P1801X (CT)
Home Health Aide 374U00000X374U00000X (CT)
Homemaker 376J00000X376J00000X (CT)
Nurse's Aide 376K00000X376K00000X (CT)

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 1992120679

Jequeena Denese Foreman, CNA's National Provider Identifier is 1992120679, issued on Mar 4, 2014. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in New Haven, CT. The record was last updated on Mar 4, 2014.