SHANNON MOSS NPI 1639610561

NPI Information

  • NPI: 1639610561
  • Provider Name: SHANNON MOSS
  • Classification: Homemaker - 376J00000X
  • Entity Type: Individual
  • Address: 746 MARION AVE SW
    CANTON, OH
    ZIP 44707
  • Phone: (330) 313-0919

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NPI Details

Shannon Moss is a homemaker in Canton, OH. The provider is 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. Shannon Moss NPI is 1639610561. 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:

746 MARION AVE SW
CANTON, OH
ZIP 44707-371
Phone: (330) 313-0919

The enumeration date for this NPI number is 3/11/2017 and was last updated on 12/3/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1376J00000XHomemakerYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12551877MEDICAIDOHIO

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

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