Cannan Healthcare Services & Staffing Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CANNAN HEALTHCARE SERVICES & STAFFING INC

Practice address

1203 Sheffield Ave
Dyer, IN 46311-1054

Phone

(219) 513-6838

Fax

(219) 513-6680

NPI assigned

Dec 17, 2013

Last updated

Sep 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Titilayo Disu

Title

Owner/Administrator

Phone

(773) 507-3932

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902227002. Details of each certification follow.

• CCN 157677 Home health agency · Active · Details

Home health agency certification: CCN 157677

Legal name

CANNAN HEALTHCARE SERVICES & STAFFING INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 15, 2014

Last certification

Sep 16, 2014

Ownership / control type

Non-Profit

Organization structure

CorporationProprietary

Incorporated

Oct 21, 2013 in IN

Enrollment address

1203 Sheffield Ave
Dyer, IN 46311-1054

Listed as

Cannan Healthcare Services & Staffing IncCCN 157677 · All quality measures

Ownership

Non-Profit

Certified

Sep 15, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1902227002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 SHEFFIELD AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111054",
            "telephone_number": "219-513-6838",
            "fax_number": "219-513-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 SHEFFIELD AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111054",
            "telephone_number": "219-513-6838",
            "fax_number": "219-513-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNAN HEALTHCARE SERVICES & STAFFING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "DISU",
        "authorized_official_first_name": "TITILAYO",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "773-507-3932"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Bult, N.P.
• Tanya D Burk-Willson, RN
• Erin Elizabeth Burrell, PSY.D., HSPP
• C.L.O. Psychological, Serv.
• Timothy Caballero
• Cardiospecialists Group, LTD (Midwest Arrhythmia Consultants)
• Bethany Lynn Casson, LMHC, LCPC
• Kelly M Cavanaugh, LMT, CMLDT
• Thomas J Cavanaugh, LMT
• Joseph E Chamberlain, LCSW

• Home Health Agency in Dyer, IN
• Providers in Dyer, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.