JUSTIN SHANNON NPI 1710344247

NPI Information

NPI: 1710344247
Provider Name: JUSTIN SHANNON
Classification: Adult Companion - 372600000X
Entity Type: Individual
Address:
3106 84TH ST S
LAKEWOOD, WA
ZIP 98499
Phone: (253) 588-7180
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Justin Shannon is an adult companion in Lakewood, WA. The provider is 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. Justin Shannon NPI is 1710344247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3106 84TH ST S
LAKEWOOD, WA
ZIP 98499-990
Phone: (253) 588-7180

The enumeration date for this NPI number is 1/28/2016 and was last updated on 1/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	372600000X	Adult Companion				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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