Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mysja Clark Blackshear

Individual provider Home Health Agency · NPI 1003769928

Mysja Clark Blackshear is a Home Health Agency in Canton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

1908 2nd St NE
Canton, OH 44704-2010
Phone: (984) 528-6627
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X (OH)

Record details

NPI number1003769928
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 19, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address1908 2nd St Ne, Canton, OH 44704-2010

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