Healthcare Provider Details

I. General information

NPI: 1346105061
Provider Name (Legal Business Name): CHERISHED MOMENTS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7507 PEACH BLOSSOM AVE
BENTON AR
72019-7956
US

IV. Provider business mailing address

7507 PEACH BLOSSOM AVE
BENTON AR
72019-7956
US

V. Phone/Fax

Practice location:
  • Phone: 501-247-8747
  • Fax:
Mailing address:
  • Phone: 501-247-8747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARLA BUTLER
Title or Position: SOLE OWNER
Credential: CEO
Phone: 501-247-8747