Active NPI
Dorothy Cannon
- In Home Supportive Care Agency
- The Colony, TX
National Provider Identifier
1194961284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 5216 Young Dr
The Colony, TX 75056-1832 - Phone
- (469) 328-5426
- NPI assigned
- Dec 19, 2008
- Last updated
- Oct 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 24603614 | TX | |
| Contractor | 171W00000X | TX | ||
| Vehicle Modifications Contractor | 171WV0202X | TX | ||
| Driver | 172A00000X | TX | ||
| Community Health Worker | 172V00000X | TX | ||
| In Home Supportive Care Agency | 253Z00000X | TX | Primary |
Addresses
Primary practice location
5216 Young Dr
The Colony, TX 75056-1832
Mailing address
5216 Young Dr
The Colony, TX 75056-1832
Phone (469) 328-5426
Other names 1
- Ms. Dorothy Cannon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24603614 | TX | MD | Private Vehicle |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keys of Love Inc | In Home Supportive Care | Past | Accepting new patients |
| Keys of Love, Inc | Private Vehicle | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Keys Of Love Home Health Locator
- Supports Brokerage Agency
- The Colony, TX
- NPI 1023254109
In Home Supportive Care
-
- Private Vehicle
- The Colony, TX
- NPI 1598027146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382659200000",
"number": "1194961284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5216 YOUNG DR",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750561832",
"telephone_number": "469-328-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5216 YOUNG DR",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750561832",
"telephone_number": "469-328-5426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "DOROTHY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-19",
"last_updated": "2013-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "TX",
"license": "24603614",
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "171WV0202X",
"taxonomy_group": "",
"desc": "Contractor, Vehicle Modifications",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOROTHY",
"last_name": "CANNON",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in The Colony, TX
- Nicol Corbin Bush, MD
- Cah Caring Homes LLC
- Ashley Cahill, PHARM.D.
- Calmcare Health LLC.
- Katelyn Amika Canada
- Care One Personal Health Services. Inc. (Care One Personal Health services)
- Care Trust Home Health Inc (Care Trust Home Health)
- Caring Disability Provider and Assisted Living, Inc.
- Caring Hands Adult Day Center (Caring Hands Home Health Care Group)
- Jolie Elizabeth Carr, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.