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DEANDRA JOHNSON NPI 1053072108


NPI Information

NPI: 1053072108
Provider Name: DEANDRA JOHNSON
Classification: Technician - 3747P1801X
Entity Type: Individual

Specialization: Personal Care Attendant

Address:
307 BELLFLOWER AVE NW
CANTON, OH
ZIP 44708
Phone: (234) 804-9552
Get Directions

Deandra Johnson is a personal care attendant technician in Canton, OH. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards Deandra Johnson NPI is 1053072108. 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:

307 BELLFLOWER AVE NW
CANTON, OH
ZIP 44708-607
Phone: (234) 804-9552

The enumeration date for this NPI number is 12/31/2021 and was last updated on 12/31/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13747P1801XTechnicianPersonal Care AttendantYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10230613MEDICAIDOHIO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.