TINA MARIE GORDON
NPI 1053021733
Adult Companion in Queen Creek, AZ

Active since December 02, 2022
4657 E ODESSA DR, QUEEN CREEK, AZ 85140(951) 305-1462 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tina Marie Gordon NPPES

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

TINA MARIE GORDON (NPI 1053021733) is an individual adult companion provider in Queen Creek, Arizona and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1053021733
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameTINA MARIE GORDON
Location Address4657 E ODESSA DRQueen Creek, AZ 85140-4516
Mailing Address4657 E Odessa DrQueen Creek, AZ 85140-4516 · (951) 305-1462
Sole ProprietorYes
Enumeration DateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
NPI 1053021733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
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.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X
4657 E ODESSA DR, Queen Creek, AZ 85140

Other Identifiers 1

Other88-07544070AZ · In Home Care For Elderly

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053021733, enumerated as an "individual" on December 02, 2022.

The provider is located at 4657 E ODESSA DR QUEEN CREEK, AZ 85140 and the phone number is (951) 305-1462.

Adult Companion with taxonomy code 372600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.