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Tina Marie Gordon
Adult Companion in Queen Creek, Arizona
NPI 1053021733

Tina Marie Gordon is an Adult Companion based in Queen Creek, AZ. Tina Marie Gordon practices in Queen Creek, AZ. The NPI Number for Tina Marie Gordon is 1053021733 and holds a License No. (Arizona).

The current practice location address for Tina Marie Gordon is 4657 E Odessa Dr, Queen Creek, AZ and can be reached out via phone at 951-305-1462.

Location: 4657 E Odessa Dr, Queen Creek, AZ, 85140-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053021733
Provider Name
Tina Marie Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
4657 E Odessa Dr, Queen Creek, AZ, 85140-4516
Phone Number
951-305-1462
Fax Number
Provider Enumeration Date
12/02/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88-07544070 01 AZ IN HOME CARE FOR ELDERLY
institution
Provider Business Practice Location Address Details
Address
4657 E Odessa Dr
City
Queen Creek
State
Arizona
Zip
85140-4516
Phone Number
951-305-1462
Fax Number
person
Provider Business Mailing Address Details
Address
4657 E Odessa Dr
City
Queen Creek
State
Arizona
Zip
85140-4516
Phone Number
951-305-1462
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
()
Definition
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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