Individual provider · Type 1 NPI

Cedric L. Shannon

Personal Care Attendant · Omaha, NE

NPI number 1306728829 Active

Practice location

4163 N 60th Ave
Omaha, NE 68104-2712

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1306728829

Cedric L. Shannon's National Provider Identifier is 1306728829, issued on Jul 24, 2025. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Omaha, NE. The record was last updated on Jul 24, 2025.