Organization Active NPI

Cassidy Care LLC

  • Homemaker
  • Canton, OH
National Provider Identifier
1689260960
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
CASSIDY CARE LLC
Practice address
2122 Utah CT NW
Canton, OH 44709-3732
Phone
(330) 685-0249
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Miss Carrie R Cassidy
Title
Ceo
Phone
(330) 685-0249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

2122 Utah CT NW
Canton, OH 44709-3732

Mailing address

2122 Utah CT NW
Canton, OH 44709-3732
Phone (330) 685-0249

Other identifiers 1

IdentifierTypeStateIssuer
0276852MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1689260960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 UTAH CT NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093732",
            "telephone_number": "330-685-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 UTAH CT NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093732",
            "telephone_number": "330-685-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSIDY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-685-0249",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276852",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.