Individual provider · Type 1 NPI

Derrick Ssenkusu

Attendant Care Provider · Phoenix, AZ

NPI number 1669331484 Active

Practice location

1717 W Northern Ave Ste 101
Phoenix, AZ 85021-5400

Call (818) 810-8120 Map

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) 343900000XNone listed
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1669331484

Derrick Ssenkusu's National Provider Identifier is 1669331484, issued on Jan 17, 2026. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 17, 2026.