Healthcare Provider Details

I. General information

NPI: 1780341610
Provider Name (Legal Business Name): CHERISHERSNEST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2021
Last Update Date: 11/28/2021
Certification Date: 11/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10475 MEDLOCK BRIDGE RD STE 310
JOHNS CREEK GA
30097-4446
US

IV. Provider business mailing address

260 SEALE LN
ALPHARETTA GA
30022-6137
US

V. Phone/Fax

Practice location:
  • Phone: 678-805-5997
  • Fax:
Mailing address:
  • Phone:
  • 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: ANITA HOUDE
Title or Position: OWNER
Credential:
Phone: 404-917-6579