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CARE BY CASSIE INC. NPI 1093833253


NPI Information

NPI: 1093833253
Provider Name: CARE BY CASSIE, INC.

Doing Business As: CARE BY CLARK

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
4230 S PHELPS RD
INDEPENDENCE, MO
ZIP 64055
Phone: (816) 478-9031
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CARE BY CASSIE, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Independence, MO. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CARE BY CASSIE, INC. NPI is 1093833253. The provider is registered as an organization entity type.
The provider Is Doing Business As Care By Clark.

The provider's business location address is:

4230 S PHELPS RD
INDEPENDENCE, MO
ZIP 64055-067
Phone: (816) 478-9031
Fax: (816) 350-3406

The provider's authorized official is Cassandra Michelle Clark-wheeler .
The authorized official title is Director/owner and has the following contact phone number (816) 478-9031.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 5/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities1410-9246MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1858953102MEDICAIDMISSOURI
2858191901MEDICAIDMISSOURI
3858191919MEDICAIDMISSOURI
4859720203MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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