Healthcare Provider Details

I. General information

NPI: 1922845072
Provider Name (Legal Business Name): CHERRY HILLS HOME CARE CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23682 E MISSISSIPPI CIR
AURORA CO
80018-6111
US

IV. Provider business mailing address

23682 E MISSISSIPPI CIR
AURORA CO
80018-6111
US

V. Phone/Fax

Practice location:
  • Phone: 720-757-1109
  • Fax:
Mailing address:
  • Phone: 720-757-1109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBEL FITHUM GEBREMICHAEL
Title or Position: PRESIDENT
Credential:
Phone: 720-757-1109