TINA MARIE KAVANAGH
NPI 1053968560
Technician - Attendant Care Provider in Manteca, CA

Active since August 20, 2019
635 ARGONAUT ST, MANTECA, CA 95336(209) 513-5295 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tina Marie Kavanagh NPPES

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

TINA MARIE KAVANAGH (NPI 1053968560) is an individual attendant care provider provider in Manteca, California and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1053968560
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameTINA MARIE KAVANAGH
Location Address635 ARGONAUT STManteca, CA 95336-3616
Mailing Address635 Argonaut StManteca, CA 95336-3616 · (209) 513-5295
Sole ProprietorYes
Enumeration DateAugust 20, 2019
NPI 1053968560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
635 ARGONAUT ST, Manteca, CA 95336

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 Tina Kavanagh's NPI number?

The NPI number for Tina Kavanagh is 1053968560. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Tina Kavanagh located?

Tina Kavanagh practices at 635 Argonaut St, Manteca, CA 95336. The listed phone number is (209) 513-5295.

What is Tina Kavanagh's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Tina Kavanagh was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.