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Tanisha Pengel, LPN
Adult Companion in Jamaica, New York
NPI 1376075911

Tanisha Pengel is an Adult Companion based in Jamaica, NY. Tanisha Pengel practices in Jamaica, NY and has the professional credentials of LPN. The NPI Number for Tanisha Pengel is 1376075911 and holds a License No. 311323 (New York).

The current practice location address for Tanisha Pengel is 10910 210Th St, Jamaica, NY and can be reached out via phone at 610-905-3352.

Location: 10910 210Th St, Jamaica, NY, 11429-1422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376075911
Provider Name
Tanisha Pengel
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
10910 210Th St, Jamaica, NY, 11429-1422
Phone Number
610-905-3352
Fax Number
Provider Enumeration Date
04/02/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
311323 05 NY
institution
Provider Business Practice Location Address Details
Address
10910 210Th St
City
Jamaica
State
New York
Zip
11429-1422
Phone Number
610-905-3352
Fax Number
person
Provider Business Mailing Address Details
Address
10910 210Th St
City
Jamaica
State
New York
Zip
11429-1422
Phone Number
610-905-3352
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
311323 (New York)
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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