MEDICARE: THE CHERYLYNNE GROUP INC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1457180275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CHERYLYNNE GROUP INC

Provider Business Mailing Address
First Line	:	194 N 18TH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43203-1502
Country	:	US
Telephone Number	:	419-290-3162
Fax Number	:

Provider Business Practice Location Address
First Line	:	4130 LINDEN AVE STE 314
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45432-3033
Country	:	US
Telephone Number	:	937-741-4877
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	RICHARD HALL
Credential	:
Telephone Number	:	419-290-3162

Provider Enumeration Date	:	07/30/2024
Last Update Date	:	07/30/2024

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Directions to “THE CHERYLYNNE GROUP INC ” Practice Location

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