Organization Active NPI

Canaday Care, LLC

  • Clinical Nurse Specialist
  • Gallipolis, OH
National Provider Identifier
1003259995
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
12223NP Issued in OH
Legal business name
CANADAY CARE, LLC
Practice address
10 Airport Rd
Gallipolis, OH 45631-1802
Phone
(740) 446-2929
Fax
(740) 446-4134
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth A Canaday, CNPNPI 1730487463
Title
Owner
Phone
(740) 645-7598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364S00000X 12223NP OH Primary

Addresses

Primary practice location

10 Airport Rd
Gallipolis, OH 45631-1802

Mailing address

10 Airport Rd
Gallipolis, OH 45631-1802
Phone (740) 446-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130708000627 OH Part B Supplier - Clinic/Group Practice 8628218013 Receives reassigned benefits from 1 practitioner
Practice locations: Gallipolis, OH

National Provider Directory

National Provider Directory

Locations

21 Central Ave
Ste B
Gallipolis, OH 45631
Phone (740) 446-2929

10 Airport Rd
Gallipolis, OH 45631
Phone (740) 441-5837

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1003259995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AIRPORT RD",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311802",
            "telephone_number": "740-446-2929",
            "fax_number": "740-446-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AIRPORT RD",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311802",
            "telephone_number": "740-446-2929",
            "fax_number": "740-446-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANADAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "CANADAY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-645-7598",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "OH",
            "license": "12223NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallipolis, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.