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SU-SAN CANNON SPAIN NPI 1790397255


NPI Information

NPI: 1790397255
Provider Name: SU-SAN CANNON SPAIN
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Individual
Address:
1712 WURZBURG DR
FORT WORTH, TX
ZIP 76134
Phone: (817) 476-1510
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Su-san Cannon Spain is an in home supportive care in Fort Worth, TX. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. Su-san Cannon Spain NPI is 1790397255. 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:

1712 WURZBURG DR
FORT WORTH, TX
ZIP 76134-320
Phone: (817) 476-1510

The enumeration date for this NPI number is 8/17/2020 and was last updated on 8/19/2020.


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
1253Z00000XIn Home Supportive CareTEXASYes

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: 11/14/2023

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