Provider Demographics
NPI:1073491726
Name:BISHOP, CANDACE JEWELL (HHA)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:JEWELL
Last Name:BISHOP
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2489 WILLOW DR SW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44485-3349
Mailing Address - Country:US
Mailing Address - Phone:330-233-7808
Mailing Address - Fax:
Practice Address - Street 1:2489 WILLOW DR SW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44485-3349
Practice Address - Country:US
Practice Address - Phone:330-233-7808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH20253849P374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty