SU-SAN CANNON SPAIN
NPI 1790397255
In Home Supportive Care in Fort Worth, TX

Q: What is Su-san Cannon Spain's NPI number?

The NPI number for Su-san Cannon Spain is 1790397255. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Q: What is Su-san Cannon Spain's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since August 17, 2020

1712 WURZBURG DR, FORT WORTH, TX 76134(817) 476-1510 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Su-san Cannon Spain NPPES

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

SU-SAN CANNON SPAIN (NPI 1790397255) is an individual in home supportive care provider in Fort Worth, Texas and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1790397255

Entity TypeIndividualFemale

Primary Taxonomy253Z00000X

Provider Legal NameSU-SAN CANNON SPAIN

Location Address1712 WURZBURG DRFort Worth, TX 76134-3320

Mailing AddressPo Box 16741Fort Worth, TX 76162-0741 · (817) 476-1510

Phone(817) 476-1510

Sole ProprietorYes

Enumeration DateAugust 17, 2020

Last NPPES UpdateAugust 19, 2020

NPPES CertifiedAugust 19, 2020

✔ NPI 1790397255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

1712 WURZBURG DR, Fort Worth, TX 76134

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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 Su-san Cannon Spain's NPI number?

The NPI number for Su-san Cannon Spain is 1790397255. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Su-san Cannon Spain located?

Su-san Cannon Spain practices at 1712 Wurzburg Dr, Fort Worth, TX 76134. The listed phone number is (817) 476-1510.

What is Su-san Cannon Spain's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Su-san Cannon Spain was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.