JACQUELINE M POTOKAR CERTIFIED CARE GIVER
NPI 1013234434
Adult Companion in Gold Canyon, AZ

Active since April 24, 2010
5175 S KINGS RANCH RD, GOLD CANYON, AZ 85118(602) 708-0546 Get Directions Write a Review

NPPES record last updated: April 24, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacqueline M Potokar Certified Care Giver NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE M POTOKAR CERTIFIED CARE GIVER (NPI 1013234434) is an individual adult companion provider in Gold Canyon, Arizona, licensed in Arizona (ALTP0141) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1013234434
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameJACQUELINE M POTOKARCredential: CERTIFIED CARE GIVER
Location Address5175 S KINGS RANCH RDGold Canyon, AZ 85118-3337
Mailing Address5175 S Kings Ranch RdGold Canyon, AZ 85118-3337 · (602) 708-0546
Sole ProprietorYes
Enumeration DateApril 24, 2010
NPI 1013234434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
License Licensed in AZ · ALTP0141
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.

5175 S KINGS RANCH RD, Gold Canyon, AZ 85118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013234434, enumerated as an "individual" on April 24, 2010.

The provider is located at 5175 S KINGS RANCH RD GOLD CANYON, AZ 85118 and the phone number is (602) 708-0546.

Adult Companion with taxonomy code 372600000X.