MR. JITHENDAR KANCHARLA NPI 1861082471

NPI Information

NPI: 1861082471
Provider Name: MR. JITHENDAR KANCHARLA
Classification: Adult Companion - 372600000X
Entity Type: Individual
Address:
1840 APOLLO DR
SUWANEE, GA
ZIP 30024
Phone: (908) 731-1786
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MR. Jithendar Kancharla is an adult companion in Suwanee, GA. 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. MR. Jithendar Kancharla NPI is 1861082471. 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:

1840 APOLLO DR
SUWANEE, GA
ZIP 30024-474
Phone: (908) 731-1786
Fax: (866) 301-3071

The enumeration date for this NPI number is 1/19/2021 and was last updated on 1/19/2021.

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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