Personal care services provided at person's home

Based On : Peter's Long Term Services and Supports (LTSS) care plan

Status : completed

Beneficiary : Peter James

Service Name/Code : Personal care services (Details : {HCPCS code 'T1019' = 'Personal care services, per 15 minutes'})

Service Date : Apr 5, 2018

Service Provider : Adam Careful

Service Delivery Address : Peter's home

Service Comment : Assisted with bathing and dressing, doing laundry, and meal preparation