NPIMap

Organization Active NPI

Cannon Care Services

  • Home Health Agency
  • Belleville, IL
National Provider Identifier
1982206405
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CANNON CARE SERVICES
Practice address
3100 Martha St Apt I
Belleville, IL 62226-6729
Phone
(720) 309-7312
NPI assigned
Nov 10, 2020
Organization subpart
Yes
Parent organization
TAMIERE CANNONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Tamiere CannonNPI 1972143238
Title
Ceo
Phone
(720) 309-7312

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3100 Martha St Apt I
Belleville, IL 62226-6729

Mailing address

3100 Martha St Apt I
Belleville, IL 62226-6729
Phone (720) 309-7312

Other names 2

  • Cannon Care Services Doing business as
  • Tamiere Cannon Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cannoncareservicesllc@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1982206405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MARTHA ST APT I",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622266729",
            "telephone_number": "720-309-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MARTHA ST APT I",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622266729",
            "telephone_number": "720-309-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON CARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAMIERE CANNON",
        "enumeration_date": "2020-11-10",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "TAMIERE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-309-7312"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cannoncareservicesllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "electronic mail",
            "address_1": "3100 Martha St Apt I",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622266729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cannon Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tamiere Cannon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.