Glenn Petillo is a Home Health Aide based in Anza, CA. Glenn Petillo practices in Anza, CA. The NPI Number for Glenn Petillo is 1770936635 and holds a License No. 00903914 (California).
The current practice location address for Glenn Petillo is 37802 Fischer Rd, Anza, CA and can be reached out via phone at 951-551-3204.
Location: 37802 Fischer Rd, Anza, CA, 92539-9203
Provider Profile Details
NPI Number
1770936635
Provider Name
Glenn Petillo
Credential
Provider Entity Type
Individual
Gender
Male
Address
37802 Fischer Rd, Anza, CA, 92539-9203
Phone Number
951-551-3204
Fax Number
Provider Enumeration Date
07/15/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00270053 | 01 | CA | CALIFORNIA DEPARTMENT OF PUBLIC HEALTH HOME HEALTH AIDE |
| 00903914 | 01 | CA | CALIFORNIA DEPARTMENT OF PUBLIC HEALTH CERTIFIED NURSING ASSISTANT |
Provider Business Practice Location Address Details
Address
37802 Fischer Rd
City
State
Zip
92539-9203
Phone Number
951-551-3204
Fax Number
Provider Business Mailing Address Details
Address
37802 Fischer Rd
City
State
Zip
92539-9203
Phone Number
951-551-3204
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
License No.
00270053 (California)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Nurse's Aide
Speciality
-
Taxonomy
License No.
00903914 (California)
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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