NPIMap

Organization Active NPI

Kassidy Kare Home Agency

  • In Home Supportive Care Agency
  • Port Richey, FL
National Provider Identifier
1720754450
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KASSIDY KARE HOME AGENCY
Doing business as
Kassidy Kare Home Agency
Practice address
7629 Bramblewood Dr Apt Suite
Port Richey, FL 34668-7009
Phone
(850) 901-7004
NPI assigned
Aug 22, 2021
Last updated
Oct 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Miss Cicely MasonNPI 1053056234
Title
President/Ceo
Phone
(772) 242-3596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Home Health Agency 251E00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

7629 Bramblewood Dr Apt Suite
Port Richey, FL 34668-7009

Mailing address

7629 Bramblewood Dr
Port Richey, FL 34668-7009
Phone (772) 242-3596

Other names 1

  • Kassidy Kare Home Agency Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmason@reneealliancegroup.com Direct

National Provider Directory

National Provider Directory

Locations

3000 Old Alabama Rd
Unit 119241
Johns Creek, GA 30022

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": "1629590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1720754450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 BRAMBLEWOOD DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346687009",
            "telephone_number": "772-242-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 BRAMBLEWOOD DR APT SUITE",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346687009",
            "telephone_number": "850-901-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASSIDY KARE HOME AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CICELY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "772-242-3596",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmason@reneealliancegroup.com",
            "affiliation": "N",
            "endpointDescription": "Secure email address on private VPN",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7629 Bramblewood Dr Apt Suite",
            "city": "Port Richey",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346687009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kassidy Kare Home Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Richey, FL

Sources for this page

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