Shavonda Latrice Fields - Chicago, IL

Shavonda Latrice Fields

Adult Companion in Chicago, Illinois

NPI 1730851932

Shavonda Latrice Fields is an Adult Companion based in Chicago, IL. Shavonda Latrice Fields practices in Chicago, IL. The NPI Number for Shavonda Latrice Fields is 1730851932 and holds a License No. F432-5915-7927 (Illinois).

The current practice location address for Shavonda Latrice Fields is 1429 S Kedvale Ave, Chicago, IL and can be reached out via phone at 773-680-0710. You can also correspond with Shavonda Latrice Fields through the mailing address at 3473 S KING DR # 215, CHICAGO, IL - 60616-4108 (mailing address contact number: 773-680-0710).

Location: 1429 S Kedvale Ave, Chicago, IL, 60616-4108

NPI Number

1730851932

Provider Name

Shavonda Latrice Fields

Credential

Provider Entity Type

Individual

Gender

Female

Address

1429 S Kedvale Ave, Chicago, IL, 60616-4108

Phone Number

773-680-0710

Fax Number

Provider Enumeration Date

10/05/2021

Last Update Date

03/10/2024

Address

1429 S Kedvale Ave

City

Chicago

State

Illinois

Zip

60623-1246

Phone Number

773-680-0710

Fax Number

Address

1429 S Kedvale Ave

City

Chicago

State

Illinois

Zip

60623-1246

Phone Number

773-680-0710

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Pastoral

Taxonomy

101YP1600X

License No.

()

Definition

Definition to come...

Type

Other Service Providers

Classification

Driver

Speciality

Taxonomy

172A00000X

License No.

()

Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Type

Agencies

Classification

Community/Behavioral Health

Speciality

Taxonomy

251S00000X

License No.

()

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Type

Transportation Services

Classification

Private Vehicle

Speciality

Taxonomy

347C00000X

License No.

()

Definition

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Type

Nursing Service Related Providers

Classification

Adult Companion

Speciality

Taxonomy

372600000X

License No.

F432-5915-7927 (Illinois)

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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