Healthcare Provider Details

I. General information

NPI: 1255264024
Provider Name (Legal Business Name): ANTHONY CLARENCE CANADA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7546 TROOST AVE STE 6S
KANSAS CITY MO
64131-2078
US

IV. Provider business mailing address

1812 E 83RD ST
KANSAS CITY MO
64132-2257
US

V. Phone/Fax

Practice location:
  • Phone: 816-272-1260
  • Fax: 816-287-8765
Mailing address:
  • Phone: 816-272-1260
  • Fax: 816-287-8765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: