Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639610561 Individual Practitioner Female Practitioner

Shannon Moss

Homemaker • Canton, OH

Professional Overview & Biography Verified Profile Summary

Shannon Moss is a registered healthcare professional specializing in Homemaker in Canton, OH. Practice services are available at 746 MARION AVE SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

746 Marion Ave Sw

Canton, OH 447074371

Telephone 3303130919

Specialty Benchmarks & Practice Insights

Comparative analytics for Homemaker in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
111 Specialists

Practicing in Canton, OH (6779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-10
Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2551877 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated December 03, 2020

Recorded as SHANNON MOSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2020

Homemaker

NPI Profile Active March 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2017

Registered at 746 MARION AVE SW, CANTON, OH 447074371 (Tel: 3303130919)

📍
Updated Business Mailing Address March 11, 2017

Registered at 746 MARION AVE SW, CANTON, OH 447074371 (Tel: 3303130919)

👤
Provider Name / Credentials Updated March 11, 2017

Recorded as SHANNON LACKEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2017

Day Training, Developmentally Disabled Services (License #3018853 in OH)

🟢
Initial NPI Registration & Enumeration March 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639610561
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2017
Last Update: December 03, 2020
Sole Proprietor: Yes

Mailing Address

746 Marion Ave Sw

Canton, OH 447074371

Phone: 3303130919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.