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MR. DERRICK GORDON II
NPI 1356191449
Technician - Personal Care Attendant in Canton, OH

Active since March 25, 2024
2401 FLETCHER AVE NE, CANTON, OH 44705(330) 268-6592 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Derrick Gordon Ii NPPES

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

MR. DERRICK GORDON II (NPI 1356191449) is an individual personal care attendant in Canton, Ohio, licensed in Ohio (TH945069) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1356191449
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameMR. DERRICK GORDON II
Location Address2401 FLETCHER AVE NECanton, OH 44705-4625
Mailing Address2401 Fletcher Ave NeCanton, OH 44705-4625 · (330) 268-6592
Phone(330) 268-6592
Sole ProprietorYes
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1356191449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License✔ Licensed in OH · TH945069
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
2401 FLETCHER AVE NE, Canton, OH 44705
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Derrick Gordon's NPI number?

The NPI number for Derrick Gordon is 1356191449. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Derrick Gordon located?

Derrick Gordon practices at 2401 Fletcher Ave NE, Canton, OH 44705. The listed phone number is (330) 268-6592.

What is Derrick Gordon'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 Derrick Gordon was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.