MEDICARE: CHERIE'S TENDER CARE INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	9297	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659492841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHERIE'S TENDER CARE INC.

Provider Business Mailing Address
First Line	:	5620 SAINT CLAUDE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-2534
Country	:	US
Telephone Number	:	504-945-8118
Fax Number	:	504-309-7560

Provider Business Practice Location Address
First Line	:	5620 SAINT CLAUDE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-2534
Country	:	US
Telephone Number	:	504-945-8118
Fax Number	:	504-309-7560

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. TARSHIA MARIE BROWN
Credential	:
Telephone Number	:	504-945-8118

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/22/2020

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