Healthcare Provider Details

I. General information

NPI: 1235075805
Provider Name (Legal Business Name): ICAN HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 PROGRESS WAY STE 112
BRYANT AR
72022-8810
US

IV. Provider business mailing address

207 PROGRESS WAY STE 112
BRYANT AR
72022-8810
US

V. Phone/Fax

Practice location:
  • Phone: 501-451-5545
  • Fax:
Mailing address:
  • Phone: 501-451-5545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. TALAYIA J JOHNSON
Title or Position: FOUNDER/CEO
Credential: EDD, MSN, RN
Phone: 501-451-5545