MS. SHANDELL WALLACE NPI 1154109668

NPI Information

  • NPI: 1154109668
  • Provider Name: MS. SHANDELL WALLACE
  • Classification: Adult Companion - 372600000X
  • Entity Type: Individual
  • Address: 7101 NW 49TH CT
    LAUDERHILL, FL
    ZIP 33319
  • Phone: (678) 675-3512

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NPI Details

MS. Shandell Wallace is an adult companion in Lauderhill, FL. The provider is 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. MS. Shandell Wallace NPI is 1154109668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7101 NW 49TH CT
LAUDERHILL, FL
ZIP 33319-456
Phone: (678) 675-3512

The enumeration date for this NPI number is 9/18/2023 and was last updated on 9/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1372600000XAdult Companion236293FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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