Organization Active NPI

Care by Cassie

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Independence, MO
National Provider Identifier
1164601357
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
14109246 Issued in MO
Legal business name
CARE BY CASSIE
Practice address
3816 S Union St
Independence, MO 64055-3150
Phone
(816) 478-9031
Fax
(816) 350-3406
NPI assigned
Oct 24, 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 Wheeler
Title
Director/Owner
Phone
(816) 847-0931

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 14109246 MO Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1410-9246 MO

Addresses

Primary practice location

3816 S Union St
Independence, MO 64055-3150

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
859720203MedicaidMO
858953102MedicaidMO
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.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1164601357",
    "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": "3816 S UNION ST",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553150",
            "telephone_number": "816-478-9031",
            "fax_number": "816-350-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE BY CASSIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "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": "816-847-0931",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "14109246",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1410-9246",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "859720203",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "858953102",
            "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.