Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SHANDRA R PETTWAY
NPI 1861239352
Home Health in Canton, MI

Q: What is Shandra Pettway's NPI number?

The NPI number for Shandra Pettway is 1861239352. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Q: What is Shandra Pettway's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Q: When was this NPI record last updated?

The NPPES record for Shandra Pettway was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.

Active since July 11, 2024

1709 LIBERTY ST N, CANTON, MI 48188(734) 210-2507 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2026, Jul 11, 2024 (2 updates tracked since 2024).

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About Mrs. Shandra R Pettway NPPES

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

MRS. SHANDRA R PETTWAY (NPI 1861239352) is an individual home health provider in Canton, Michigan and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1861239352

Entity TypeIndividualFemale

Primary Taxonomy251E00000X

Provider Legal NameMRS. SHANDRA R PETTWAY

Location Address1709 LIBERTY ST NCanton, MI 48188-8002

Mailing Address1709 Liberty St NCanton, MI 48188-8002 · (734) 210-2507

Phone(734) 210-2507

Sole ProprietorYes

Enumeration DateJuly 11, 2024

Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1861239352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedSocial WorkerTaxonomy 104100000X · License 6851121474 (MI)

1709 LIBERTY ST N, Canton, MI 48188

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LEMUEL PETTWAY

Home Health Aide

1709 LIBERTY ST N
CANTON, MI 48188

Wayne County (734) 353-6520

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 Shandra Pettway's NPI number?

The NPI number for Shandra Pettway is 1861239352. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Where is Shandra Pettway located?

Shandra Pettway practices at 1709 Liberty St N, Canton, MI 48188. The listed phone number is (734) 210-2507.

What is Shandra Pettway's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Shandra Pettway was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.