Debra Ann Wallace is an Adult Companion based in Tampa, FL. Debra Ann Wallace practices in Tampa, FL. The NPI Number for Debra Ann Wallace is 1912149188 and holds a License No. 684206296 (Florida).
The current practice location address for Debra Ann Wallace is 5608 Kenny Dr, Tampa, FL and can be reached out via phone at 813-546-4884 and via fax at 813-983-1860.
Location: 5608 Kenny Dr, Tampa, FL, 33617-7711
Provider Profile Details
NPI Number
1912149188
Provider Name
Debra Ann Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
5608 Kenny Dr, Tampa, FL, 33617-7711
Phone Number
813-546-4884
Fax Number
813-983-1860
Provider Enumeration Date
04/02/2009
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14627300 | 05 | FL | |
| CNA54979 | 01 | FL | CNA |
| 684206296 | 05 | FL |
Provider Business Practice Location Address Details
Address
5608 Kenny Dr
City
State
Zip
33617-7711
Phone Number
813-546-4884
Fax Number
813-983-1860
Provider Business Mailing Address Details
Address
5608 Kenny Dr
City
State
Zip
33617-7711
Phone Number
813-546-4884
Fax Number
813-983-1860
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
684206296 (Florida)
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.
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
License No.
CNA 54979 (Florida)
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
License No.
684206296 (Florida)
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
Provider's Taxonomy Details 4
Type
Nursing Service Related Providers
Classification
Nurse's Aide
Speciality
-
Taxonomy
License No.
684206296 (Florida)
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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