Healthcare Provider Details

I. General information

NPI: 1649060310
Provider Name (Legal Business Name): CHERISHED SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 UNIVERSITY AVE W # 464-30
SAINT PAUL MN
55104-2801
US

IV. Provider business mailing address

1821 UNIVERSITY AVE W # 464-30
SAINT PAUL MN
55104-2801
US

V. Phone/Fax

Practice location:
  • Phone: 619-508-7547
  • Fax:
Mailing address:
  • Phone: 619-508-7547
  • 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: YASIR ABUKAR
Title or Position: MANAGER
Credential:
Phone: 618-508-7547