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DEANDRA JOHNSON
NPI 1053072108
Technician - Personal Care Attendant in Canton, OH

Active since December 31, 2021
307 BELLFLOWER AVE NW, CANTON, OH 44708(234) 804-9552 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deandra Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEANDRA JOHNSON (NPI 1053072108) is an individual personal care attendant in Canton, Ohio and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1053072108
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameDEANDRA JOHNSON
Location Address307 BELLFLOWER AVE NWCanton, OH 44708-5607
Mailing Address307 Bellflower Ave NwCanton, OH 44708-5607 · (234) 804-9552
Phone(234) 804-9552
Sole ProprietorYes
Enumeration DateDecember 31, 2021
NPPES CertifiedDecember 31, 2021
✔ NPI 1053072108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
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
307 BELLFLOWER AVE NW, Canton, OH 44708
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Other Identifiers 1

Medicaid0230613OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deandra Johnson's NPI number?

The NPI number for Deandra Johnson is 1053072108. It was assigned to this individual provider in the NPPES registry on December 31, 2021.

Where is Deandra Johnson located?

Deandra Johnson practices at 307 Bellflower Ave NW, Canton, OH 44708. The listed phone number is (234) 804-9552.

What is Deandra Johnson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Deandra Johnson was last updated on December 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.