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Mrs. Tina Benson
Personal Care Attendant in Fort Wayne, Indiana
NPI 1316598964

Tina Benson is a Personal Care Attendant based in Fort Wayne, IN and is specialized in Personal Care Attendant. Tina Benson practices in Fort Wayne, IN. The NPI Number for Tina Benson is 1316598964 and holds a License No. (Indiana).

The current practice location address for Tina Benson is 2478 Lake Ave, Fort Wayne, IN and can be reached out via phone at 260-387-6369 and via fax at 260-387-6370. You can also correspond with Tina Benson through the mailing address at 2478 LAKE AVE, FORT WAYNE, IN - 46805-5406 (mailing address contact number: 260-387-6369).

Location: 2478 Lake Ave, Fort Wayne, IN, 46805-5406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316598964
Provider Name
Tina Benson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2478 Lake Ave, Fort Wayne, IN, 46805-5406
Phone Number
260-387-6369
Fax Number
260-387-6370
Provider Enumeration Date
09/25/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
200937350A 05 IN
institution
Provider Business Practice Location Address Details
Address
2478 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5406
Phone Number
260-387-6369
Fax Number
260-387-6370
person
Provider Business Mailing Address Details
Address
2478 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5406
Phone Number
260-387-6369
Fax Number
260-387-6370
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
19-012089-1 (Indiana)
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.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
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
person
Provider's Taxonomy Details 4
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
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.
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