Provider Demographics
NPI:1275296410
Name:CHERICARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:CHERICARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHERISE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:267-422-4013
Mailing Address - Street 1:261 OLD YORK RD STE 415
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3722
Mailing Address - Country:US
Mailing Address - Phone:267-422-4013
Mailing Address - Fax:215-649-9079
Practice Address - Street 1:261 OLD YORK RD STE 415
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3722
Practice Address - Country:US
Practice Address - Phone:267-422-4013
Practice Address - Fax:215-649-9079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-14
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health