IndividualActive
Su-San Cannon Spain
NPI 1790397255 · In Home Supportive Care Agency · Fort Worth, TX
Su-San Cannon Spain is a In Home Supportive Care Agency provider in Fort Worth, TX (NPI 1790397255).
Provider details
- NPI number
- 1790397255
- Entity type
- Individual
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1712 Wurzburg Dr
Fort Worth, TX 76134-3320
Phone: (817) 476-1510
Street-level locationGet directions
Mailing address
Po Box 16741
Fort Worth, TX 76162-0741
Registry dates
- Enumerated
- 2020-08-17
- Last updated
- 2020-08-19
- Certified
- 2020-08-19
Frequently asked questions
- What is Su-San Cannon Spain's NPI number?
- Su-San Cannon Spain's National Provider Identifier (NPI) is 1790397255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Su-San Cannon Spain's specialty?
- Su-San Cannon Spain is listed in the NPPES registry with a primary specialty of In Home Supportive Care Agency (Agencies).
- Where is Su-San Cannon Spain located?
- Su-San Cannon Spain's practice location on file with NPPES is 1712 Wurzburg Dr, Fort Worth, TX 76134-3320.
- What is Su-San Cannon Spain's phone number?
- The practice phone number listed in the NPPES registry for Su-San Cannon Spain is (817) 476-1510.
- Is Su-San Cannon Spain's NPI active?
- Yes — Su-San Cannon Spain's NPI (1790397255) is active in the NPPES registry as of the last update on 2020-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.