STACIA MARIE WALLACE
NPI 1750995452
Adult Companion in Sacramento, CA
- Individual
- Female
- Adult Companion
About STACIA WALLACE
This page provides the complete NPI Profile along with additional information for Stacia Wallace, a provider established in Sacramento, California with a medical specialization in Adult Companion. The healthcare provider is registered in the NPI registry with number 1750995452 assigned on September 2020. The practitioner's primary taxonomy code is 372600000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1750995452 Verify this NPI
- Provider Name
- STACIA MARIE WALLACE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3815 MARCONI AVE SACRAMENTO, CA 95821
- Location Phone
- (916) 890-3000
- Mailing Address
- 3815 MARCONI AVE SACRAMENTO, CA 95821
- Mailing Phone
- (916) 890-3000
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-01-2020
- Last Update Date
- 12-09-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Adult Companion
- Taxonomy Code
- 372600000X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SACRAMENTO, CA 95821
SACRAMENTO, CA 95821
SACRAMENTO, CA 95821
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750995452, enumerated as an "individual" on September 01, 2020.
The provider is located at 3815 MARCONI AVE SACRAMENTO, CA 95821 and the phone number is (916) 890-3000.
Adult Companion with taxonomy code 372600000X.
