Provider Demographics
NPI:1689241978
Name:CASS SERVICES LLC
Entity type:Organization
Organization Name:CASS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEHMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:567-274-8906
Mailing Address - Street 1:151 MYERS AVE
Mailing Address - Street 2:
Mailing Address - City:BELLVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44813-1129
Mailing Address - Country:US
Mailing Address - Phone:567-274-8906
Mailing Address - Fax:
Practice Address - Street 1:73 BRICKMAN AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44906-2607
Practice Address - Country:US
Practice Address - Phone:567-274-8906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7004340OtherOHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
OH0437477Medicaid