MEDICARE: CHERYL ANDERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1194619825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL ANDERSON

Provider Business Mailing Address
First Line	:	10600 FORESTDALE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-4009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	352 RIDDLE RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-1041
Country	:	US
Telephone Number	:	513-570-0759
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2025
Last Update Date	:	06/06/2025

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Directions to “ CHERYL ANDERSON ” Practice Location

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