Cheryl Canada
Individual provider Active NPI Personal Care Attendant · Benson, IL
NPI 1245041771 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1245041771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 109 E State Route 116
Benson, IL 61516-9697 - Phone
- (402) 718-0103
- NPI assigned
- Jan 15, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
109 E State Route 116
Benson, IL 61516-9697
Mailing address
PO Box 342
Benson, IL 61516-0342
Other providers in Benson, IL
All providers in Benson, IL · Personal Care Attendant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.