Sass.Illy Endeavors, Inc.

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

SASS.ILLY ENDEAVORS, INC.

Practice address

1300 Metro East Dr Ste 110
Pleasant Hill, IA 50327-8906

Phone

(515) 243-0011

Fax

(515) 243-7711

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Shasta Lee GambleNPI 1659843506

Title

Owner

Phone

(515) 243-0011

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Comfort Keepers Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Shasta Lee Gamble

  • Attendant Care Provider
  • Pleasant Hill, IA
  • NPI 1659843506
  NPD Authorized official

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1992321095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 METRO EAST DR STE 110",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503278906",
            "telephone_number": "515-243-0011",
            "fax_number": "515-243-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 METRO EAST DR STE 110",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503278906",
            "telephone_number": "515-243-0011",
            "fax_number": "515-243-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASS.ILLY ENDEAVORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "SHASTA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-243-0011"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000222090",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shasta@ckiowa.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1300 Metro East Dr Ste 110",
            "city": "Pleasant Hill",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503278906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Leigh Roth, DNP, FNP-C
• Michael Jay Rovner, DDS MS
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• Kimberly K Salow, D.D.S.
• Brittany Ann Sanger, PA-C
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• Courtney Ann Slater, MS, RDN, LD, CDCES
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• Eric Smargiasso, NBC, HIS
• Tara A Snelson, ARDMS

• Attendant Care Provider in Pleasant Hill, IA
• Providers in Pleasant Hill, IA by specialty
• Attendant Care Provider in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.