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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.

Location: 1429 S Kedvale Ave, Chicago, IL, 60616-4108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
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
institution
Provider Business Practice Location Address Details
Address
1429 S Kedvale Ave
City
Chicago
State
Illinois
Zip
60623-1246
Phone Number
773-680-0710
Fax Number
person
Provider Business Mailing Address Details
Address
1429 S Kedvale Ave
City
Chicago
State
Illinois
Zip
60623-1246
Phone Number
773-680-0710
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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.
person
Provider's Taxonomy Details 3
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.
person
Provider's Taxonomy Details 4
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.
person
Provider's Taxonomy Details 5
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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