Organization Active NPI

Cassia Tree Home Care & Sitter's Services, Inc

  • Home Health Aide
  • Douglasville, GA
National Provider Identifier
1669230777
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
CASSIA TREE HOME CARE & SITTER'S SERVICES, INC
Practice address
12461 Veterans Memorial Hwy # 787
Douglasville, GA 30134-2025
Phone
(404) 740-7165
NPI assigned
Mar 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Ms. Keisha Williams
Title
Owner/Ceo
Phone
(404) 740-7165

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X
Health Maintenance Organization 302R00000X
Private Vehicle 347C00000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

12461 Veterans Memorial Hwy # 787
Douglasville, GA 30134-2025

Mailing address

12461 Veterans Memorial Hwy Ste 787
Douglasville, GA 30134-2025
Phone (404) 740-7165

Other practice location 1

6830 Cherry Cir
Lithia Springs, GA 30122-1715
Phone (404) 740-7165

National Provider Directory

National Provider Directory

Locations

12461 Veterans Memorial Hwy
#787
Douglasville, GA 30134
Phone (404) 740-7165

12461 Veterans Memorial Hwy
Ste 787
Douglasville, GA 30134

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1669230777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12461 VETERANS MEMORIAL HWY STE 787",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342025",
            "telephone_number": "404-740-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12461 VETERANS MEMORIAL HWY # 787",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342025",
            "telephone_number": "404-740-7165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6830 Cherry Cir",
            "address_purpose": "LOCATION",
            "city": "Lithia Springs",
            "state": "GA",
            "postal_code": "301221715",
            "country_code": "US",
            "telephone_number": "404-740-7165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASSIA TREE HOME CARE & SITTER'S SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "404-740-7165",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.