# KASSIDY KARE HOME AGENCY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Kassidy Kare Home Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720754450
- **Authorized official:** MISS CICELY MASON (PRESIDENT/CEO)
- **Authorized official phone:** (772) 242-3596

## Contact information

- **Practice address:** 7629 BRAMBLEWOOD DR APT SUITE, PORT RICHEY, FL 34668-7009
- **Practice address phone:** (850) 901-7004
- **Mailing address:** 7629 BRAMBLEWOOD DR, PORT RICHEY, FL 34668-7009
- **Mailing address phone:** (772) 242-3596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/22/2021
- **Last updated:** 10/12/2021