Organization Active NPI

Cass's Mobile Health Services, Inc.

  • Family Medicine Physician
  • Port Orange, FL
National Provider Identifier
1093391336
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CASS'S MOBILE HEALTH SERVICES, INC.
Practice address
3956 Sunset Cove Dr
Port Orange, FL 32129-1918
Phone
(386) 871-3855
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cassondra Yvette Hawkins, APRN
Title
Owner
Phone
(386) 871-3855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3956 Sunset Cove Dr
Port Orange, FL 32129-1918

Mailing address

3956 Sunset Cove Dr
Port Orange, FL 32129-1918
Phone (386) 871-3855

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1093391336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3956 SUNSET COVE DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321291918",
            "telephone_number": "386-871-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3956 SUNSET COVE DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321291918",
            "telephone_number": "386-871-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASS'S MOBILE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "CASSONDRA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-871-3855",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.