MEDICARE: CHERY HEALTH CARE MULTI SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253J00000X	Foster Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	310400000X	Assisted Living Facility
4	343900000X	Non-emergency Medical Transport (VAN)
5	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1184151391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHERY HEALTH CARE MULTI SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 7043
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34290-0043
Country	:	US
Telephone Number	:	941-777-3631
Fax Number	:	941-227-1739

Provider Business Practice Location Address
First Line	:	1739 QUEEN PALM WAY
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288-8656
Country	:	US
Telephone Number	:	941-777-3631
Fax Number	:	941-227-1739

Authorized Official
Title or Position	:	VP
Name	:	BERNARD V CHERY
Credential	:
Telephone Number	:	941-447-1401

Provider Enumeration Date	:	05/18/2017
Last Update Date	:	06/20/2018

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