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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: August 09, 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
Phone(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
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Other Identifiers 1

Other88-07544070AZ · In Home Care For Elderly

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Gordon's NPI number?

The NPI number for Tina Gordon is 1053021733. It was assigned to this individual provider in the NPPES registry on December 2, 2022.

Where is Tina Gordon located?

Tina Gordon practices at 4657 E Odessa Dr, Queen Creek, AZ 85140. The listed phone number is (951) 305-1462.

What is Tina Gordon's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Tina Gordon was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.