Provider Demographics
NPI:1902227002
Name:CANNAN HEALTHCARE SERVICES & STAFFING INC
Entity Type:Organization
Organization Name:CANNAN HEALTHCARE SERVICES & STAFFING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TITILAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:DISU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-507-3932
Mailing Address - Street 1:9105-A INDIANAPOLIS BLVD SUITE 301
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-2591
Mailing Address - Country:US
Mailing Address - Phone:219-513-6838
Mailing Address - Fax:219-513-6680
Practice Address - Street 1:9105A INDIANAPOLIS BLVD STE 301
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-2591
Practice Address - Country:US
Practice Address - Phone:219-513-6838
Practice Address - Fax:219-513-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health