Organization Active NPI

Care by Cassie, Inc.

Doing business as Care By Clark

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Independence, MO
National Provider Identifier
1093833253
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
1410-9246 Issued in MO
Legal business name
CARE BY CASSIE, INC.
Doing business as
Care By Clark
Practice address
4230 S Phelps Rd
Independence, MO 64055-5067
Phone
(816) 478-9031
Fax
(816) 350-3406
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Ms. Cassandra Michelle Clark-WheelerNPI 1811370406
Title
Director/Owner
Phone
(816) 478-9031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 1410-9246 MO Primary

Addresses

Primary practice location

4230 S Phelps Rd
Independence, MO 64055-5067

Mailing address

4230 S Phelps Rd
Independence, MO 64055-5067
Phone (816) 478-9031

Other identifiers 4

IdentifierTypeStateIssuer
858191919MedicaidMO
858953102MedicaidMO
859720203MedicaidMO
858191901MedicaidMO

Other names 1

  • Care By Clark Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Care by Cassie Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4230 S Phelps Rd
Independence, MO 64055
Phone (816) 478-9031

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1093833253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 S PHELPS RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555067",
            "telephone_number": "816-478-9031",
            "fax_number": "816-350-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 S PHELPS RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555067",
            "telephone_number": "816-478-9031",
            "fax_number": "816-350-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE BY CASSIE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "CLARK-WHEELER",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "816-478-9031",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1410-9246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "858191919",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "858953102",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "859720203",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "858191901",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care By Clark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.