MEDICARE: SADIE CASSEUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	RN2286432	MA

General Provider Information

NPI Number	:	1811641061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SADIE CASSEUS

Provider Business Mailing Address
First Line	:	120 CLARK AVE
Second Line	:
City	:	CHELSEA
State	:	MA
Zip	:	02150-2136
Country	:	US
Telephone Number	:	617-270-1572
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 CLARK AVE
Second Line	:
City	:	CHELSEA
State	:	MA
Zip	:	02150-2136
Country	:	US
Telephone Number	:	617-270-1572
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2022
Last Update Date	:	02/07/2022

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Directions to “ SADIE CASSEUS ” Practice Location

Language	Start Address	Practice Location

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