Provider Demographics
NPI:1003667056
Name:CHERSEA HOMECARE INC.
Entity Type:Organization
Organization Name:CHERSEA HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KETTIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUVOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-302-5241
Mailing Address - Street 1:1799 W OAKLAND PARK BLVD STE 306B
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1537
Mailing Address - Country:US
Mailing Address - Phone:754-302-5241
Mailing Address - Fax:
Practice Address - Street 1:1799 W OAKLAND PARK BLVD STE 306B
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311-1537
Practice Address - Country:US
Practice Address - Phone:754-302-5241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care