Healthcare Provider Details

I. General information

NPI: 1225974660
Provider Name (Legal Business Name): CHERRYWOOD CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 STAGHORN DR
NEW CASTLE DE
19720-7655
US

IV. Provider business mailing address

745 STAGHORN DR
NEW CASTLE DE
19720-7655
US

V. Phone/Fax

Practice location:
  • Phone: 302-275-9557
  • Fax:
Mailing address:
  • Phone: 302-275-9557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. MOSES KIARIE
Title or Position: PRESIDENT
Credential:
Phone: 302-275-9557