Healthcare Provider Details

I. General information

NPI: 1649160342
Provider Name (Legal Business Name): CHERISHING LIVES HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5975 CASTLE CREEK PARKWAY NORTH DR STE 440
INDIANAPOLIS IN
46250-4377
US

IV. Provider business mailing address

5975 CASTLE CREEK PARKWAY NORTH DR STE 440
INDIANAPOLIS IN
46250-4377
US

V. Phone/Fax

Practice location:
  • Phone: 317-871-4511
  • Fax: 317-871-4511
Mailing address:
  • Phone: 317-871-4511
  • Fax: 317-871-4511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: PATRINA ROCHELLE WILLIAMS
Title or Position: CEO
Credential:
Phone: 317-871-4511