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General NPI Number Information
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NPI Number | 1669230777
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Entity Type | Organization
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Legal Business Name | CASSIA TREE HOME CARE & SITTER'S SERVICES, INC
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 12461 VETERANS MEMORIAL HWY # 787
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-2025
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Country | US
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Telephone | 404-740-7165
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Fax |
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Provider Business Mailing Address
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Address Line | 12461 VETERANS MEMORIAL HWY STE 787
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-2025
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Country | US
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Telephone | 404-740-7165
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MS. KEISHA WILLIAMS
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Credential |
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Telephone | 404-740-7165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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 #3
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 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 #6
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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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