Cannan Healthcare Services & Staffing Inc

Key facts

NPI: 1902227002
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 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
Organization subpart: No

Authorized official

Name: Titilayo Disu
Title: Owner/Administrator
Phone: (773) 507-3932

Medicare Care Compare: Home health agency

Listed as: Cannan Healthcare Services & Staffing Inc CCN 157677
Ownership: Non-Profit
Certified: Sep 15, 2014
Medicare certification status: Active (Provider of Services file)
Services: Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
15D2073065	Cannan Healthcare SVC & Staffing, Inc 1203 Sheffield Ave, Dyer, IN 46311	Certificate of waiver	Feb 10, 2028

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IN

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: Corporation · Proprietary
Incorporated: Oct 21, 2013 in IN
Enrollment address: 1203 Sheffield Ave
Dyer, IN 46311-1054

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.

Name	Role	Since	Share
Titilayo Yemi Disu Individual	5% Or Greater Direct Ownership Interest	Oct 21, 2013	50%
	Corporate Director Vice President/Secretary	Oct 21, 2013	50%
	W-2 Managing Employee Vice President/Secretary	Oct 21, 2013	50%
Abimbola O Ogunlola Individual	5% Or Greater Direct Ownership Interest	Oct 21, 2013	50%
	Corporate Director President/Treasurer	Oct 21, 2013	50%
	W-2 Managing Employee President/Treasurer	Oct 21, 2013	50%

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20140418000231	IN	Part a Provider - Home Health Agency	1153553466	Practice locations: Dyer, IN

National Provider Directory

Locations

1203 Sheffield Ave
Dyer, IN 46311
Phone (219) 513-6838

9105A Indianapolis Blvd
Ste 301
Highland, IN 46322

2646 Highway Ave
Ste 106
Highland, IN 46322
Phone (219) 513-6838

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X			Yes

Addresses

Primary practice location

1203 Sheffield Ave
Dyer, IN 46311-1054

Mailing address

1203 Sheffield Ave
Dyer, IN 46311-1054
Phone (219) 513-6838

Other providers in Dyer, IN

All providers in Dyer, IN · Home Health Agency in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (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.