Cassandra Boles

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

394 Bayshore Dr
Fairfax, SC 29827-3234

Phone

(803) 842-9642

NPI assigned

Sep 28, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2021.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1316619356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "FAIRFAX",
            "state": "SC",
            "postal_code": "298270271",
            "telephone_number": "803-842-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 BAYSHORE DR",
            "city": "FAIRFAX",
            "state": "SC",
            "postal_code": "298273234",
            "telephone_number": "803-842-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allendale County Hospital Board
• Allendale County Schools
• Brent Alan Armstrong, MD
• Vanessa Badger
• Thomas Richard Bair, MD
• Portereshice Shunta Brabham
• Thomas Edward Byrne, MD
• Sotheary Chan, PA
• Delois Daniels, APRN
• Cindy Davis, R.N.

• All providers in Fairfax, SC
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.