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NICHOLE ROBERTSON
NPI 1700484466
Adult Companion in Mulberry, FL

Active since October 15, 2020
2236 BLACKWOOD DR, MULBERRY, FL 33860(863) 258-4147 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2021, Sep 16, 2021, Oct 15, 2020 (3 updates tracked since 2020).

About Nichole Robertson NPPES

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

NICHOLE ROBERTSON (NPI 1700484466) is an individual adult companion provider in Mulberry, Florida and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1700484466
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameNICHOLE ROBERTSON
Location Address2236 BLACKWOOD DRMulberry, FL 33860-5500
Mailing Address2236 Blackwood DrMulberry, FL 33860-5500 · (863) 258-4147
Phone(863) 258-4147
Sole ProprietorNo
Enumeration DateOctober 15, 2020
Last NPPES UpdateDecember 29, 20213 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1700484466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-20-139659 (FL)
Also ListedHome Health AideTaxonomy 374U00000X
Also ListedHomemakerTaxonomy 376J00000X
2236 BLACKWOOD DR, Mulberry, FL 33860
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACEFUL HOME SERVICES LLC
Day Training, Developmentally Disabled Services
2236 BLACKWOOD DR
MULBERRY, FL 33860
Polk County (863) 258-4147

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 Nichole Robertson's NPI number?

The NPI number for Nichole Robertson is 1700484466. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Where is Nichole Robertson located?

Nichole Robertson practices at 2236 Blackwood Dr, Mulberry, FL 33860. The listed phone number is (863) 258-4147.

What is Nichole Robertson'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 Nichole Robertson was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.