Healthcare Provider Details

I. General information

NPI: 1134441595
Provider Name (Legal Business Name): CHERUBIM CARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2010
Last Update Date: 02/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 KIPLING ST
AKRON OH
44306-1433
US

IV. Provider business mailing address

PO BOX 7445
AKRON OH
44306-0445
US

V. Phone/Fax

Practice location:
  • Phone: 330-573-1840
  • Fax: 330-956-3912
Mailing address:
  • Phone: 330-573-1840
  • Fax: 330-956-3912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberPN. 095799 IV
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberPN. 095799 IV
License Number StateOH

VIII. Authorized Official

Name: MS. TERESA MARIE MCCLENDON
Title or Position: OWNER/LPN
Credential: LPN
Phone: 330-573-1840