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: July 19, 2026.

  • Individual
  • Female
  • Technician
  • Attendant Care Provider

About TINA KAVANAGH

This page provides the complete NPI Profile along with additional information for Tina Kavanagh, a provider established in Manteca, California with a medical specialization in Technician, focusing in attendant care provider . The healthcare provider is registered in the NPI registry with number 1053968560 assigned on August 2019. The practitioner's primary taxonomy code is 3747A0650X. The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1053968560 Verify this NPI
Provider Name
TINA MARIE KAVANAGH
Gender
Female
Entity Type
Individual
Location Address
635 ARGONAUT ST MANTECA, CA 95336
Location Phone
(209) 513-5295
Mailing Address
635 ARGONAUT ST MANTECA, CA 95336
Mailing Phone
(209) 513-5295
Is Sole Proprietor?
Yes
Enumeration Date
08-20-2019
Last Update Date
08-20-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician Attendant Care Provider

Taxonomy Code
3747A0650X
Type
Nursing Service Related Providers
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053968560, enumerated as an "individual" on August 20, 2019.

The provider is located at 635 ARGONAUT ST MANTECA, CA 95336 and the phone number is (209) 513-5295.

Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.