| Name | Value |
|---|---|
| PROVIDER TYPE | Nursing Service Related Providers |
| CLASSIFICATION | Homemaker |
| DEFINITION | An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| STATUS | Active |
| VA CODE | V170300 |
| X12 CODE | 376J00000X |
| SPECIALTY CODE | A4 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5253068 |
| EFFECTIVE DATE/TIME |
|