Carrie Renee Cassisdy

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

RL543721 Issued in OH

Practice address

2122 Utah CT NW
Canton, OH 44709-3732

Phone

(330) 685-0249

NPI assigned

Dec 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cassidy Care LLC

  • Homemaker
  • Canton, OH
  • NPI 1689260960
  NPD

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1871189779",
    "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": {
        "last_name": "CASSISDY",
        "first_name": "CARRIE",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "RL543721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276852",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Casey
• John Casil II, P.T, DPT, G.C.S
• Amy R Casline, LSW
• Barbara Casline, MAED, LPCC
• Cassidy Care LLC
• Theresa Castillo
• Nancy J Castle, MA, PCC
• Kali Casto
• Morgan Rae Casto, PT
• Rhonda J Casto, FNP

• Home Health Aide in Canton, OH
• Providers in Canton, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.