Healthcare Provider Details

I. General information

NPI: 1356645089
Provider Name (Legal Business Name): CHERISH HOME HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2011
Last Update Date: 02/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52195 RUTHERFORD CIR
CHESTERFIELD MI
48051-3671
US

IV. Provider business mailing address

PO BOX 294
RICHMOND MI
48062-0294
US

V. Phone/Fax

Practice location:
  • Phone: 586-935-2707
  • Fax:
Mailing address:
  • Phone: 586-935-2707
  • 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: MS. CHAUNTEL L HOLT
Title or Position: OWNER
Credential: CMA
Phone: 586-935-2707