Healthcare Provider Details

I. General information

NPI: 1386578854
Provider Name (Legal Business Name): CHERISH OPEN ARMS PHC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4833 MELVILLE AVE STE A
EAST CHICAGO IN
46312-3555
US

IV. Provider business mailing address

4833 MELVILLE AVE STE A
EAST CHICAGO IN
46312-3555
US

V. Phone/Fax

Practice location:
  • Phone: 334-468-8417
  • Fax:
Mailing address:
  • Phone: 334-468-8417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL TUCKER
Title or Position: ADMINISTRATIVE
Credential:
Phone: 334-468-8417