Provider Demographics
NPI:1033860382
Name:CASSELL, SARDIA (BSN)
Entity Type:Individual
Prefix:
First Name:SARDIA
Middle Name:
Last Name:CASSELL
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:SARDIA
Other - Middle Name:
Other - Last Name:CASSELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN
Mailing Address - Street 1:811 CHURCH RD STE 105
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1465
Mailing Address - Country:US
Mailing Address - Phone:856-534-0894
Mailing Address - Fax:
Practice Address - Street 1:811 CHURCH RD STE 105
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1465
Practice Address - Country:US
Practice Address - Phone:856-534-0894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X, 376J00000X
NJ26NR20997900163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker