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General NPI Number Information
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NPI Number | 1396622346
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Entity Type | Organization
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Legal Business Name | CASSIA VIDA LLC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 38008 UNION LAKE RD
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City | HARRISON TWP
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State | MI
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Zip | 48045-1935
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Country | US
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Telephone | 586-441-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 38008 UNION LAKE RD
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City | HARRISON TWP
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State | MI
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Zip | 48045-1935
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Country | US
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Telephone | 586-441-6800
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Fax |
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Authorized Official
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Title or Position | OWNER/DON
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Name | MS. RACHEL OSBORNE
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Credential | BSN, RN
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Telephone | 586-441-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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