MEDICARE: CHEER HOME CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	376J00000X	Homemaker
3	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NA	OTHER		NA

General Provider Information

NPI Number	:	1811527112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHEER HOME CARE

Provider Business Mailing Address
First Line	:	9604 W 25TH PL
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-1606
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9604 W 25TH PL
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-1606
Country	:	US
Telephone Number	:	303-961-1803
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KOKU KLUTSE
Credential	:
Telephone Number	:	303-961-1803

Provider Enumeration Date	:	01/25/2020
Last Update Date	:	05/05/2020

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Directions to “CHEER HOME CARE ” Practice Location

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