Kellroy Gordon is an Adult Companion based in Palm Bay, FL. Kellroy Gordon practices in Palm Bay, FL. The NPI Number for Kellroy Gordon is 1184180093 and holds a License No. (Florida).
The current practice location address for Kellroy Gordon is 530 Malabar Rd Sw Apt 202, Palm Bay, FL and can be reached out via phone at 321-614-5082.
Location: 530 Malabar Rd Sw Apt 202, Palm Bay, FL, 32907-2992
Provider Profile Details
NPI Number
1184180093
Provider Name
Kellroy Gordon
Credential
Provider Entity Type
Individual
Gender
Male
Address
530 Malabar Rd Sw Apt 202, Palm Bay, FL, 32907-2992
Phone Number
321-614-5082
Fax Number
Provider Enumeration Date
02/15/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
530 Malabar Rd Sw Apt 202
City
State
Zip
32907-2992
Phone Number
321-614-5082
Fax Number
Provider Business Mailing Address Details
Address
530 Malabar Rd Sw Apt 202
City
State
Zip
32907-2992
Phone Number
321-614-5082
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Chore Provider
Speciality
-
Taxonomy
License No.
195341 (Florida)
Definition
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
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.
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Technician
Speciality
-
Taxonomy
License No.
()
Definition
(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.
Provider's Taxonomy Details 4
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
License No.
()
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Provider's Taxonomy Details 5
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Provider's Taxonomy Details 6
Type
Nursing Service Related Providers
Classification
Nurse's Aide
Speciality
-
Taxonomy
License No.
()
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
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