Individual provider · Type 1 NPI
Kimberley Martin Carrillo
Adult Companion · Yucaipa, CA
Practice location
34366 Yucaipa Blvd Ste I
Yucaipa, CA 92399-2478
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.
About NPI 1992651905
Kimberley Martin Carrillo's National Provider Identifier is 1992651905, issued on Mar 10, 2026. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Yucaipa, CA. The record was last updated on Mar 20, 2026.