MEDICARE: CHERISH HOME HEALTH CARE,LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1699238774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHERISH HOME HEALTH CARE,LLC

Provider Business Mailing Address
First Line	:	201 PARK WASHINGTON CT STE 100
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-4527
Country	:	US
Telephone Number	:	571-243-7667
Fax Number	:	703-995-4724

Provider Business Practice Location Address
First Line	:	201 PARK WASHINGTON CT STE 100
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-4527
Country	:	US
Telephone Number	:	571-243-7667
Fax Number	:	703-995-4724

Authorized Official
Title or Position	:	ADMINSTRATOR
Name	:	MS. HAWA MOHAMUD MOHAMED
Credential	:
Telephone Number	:	571-243-7667

Provider Enumeration Date	:	04/07/2019
Last Update Date	:	04/21/2020

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