Provider Demographics
NPI:1326620253
Name:CHERISHING LIVES
Entity Type:Organization
Organization Name:CHERISHING LIVES
Other - Org Name:CHERISHING LIVES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-871-4511
Mailing Address - Street 1:6809 E 52ND PL
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:IN
Mailing Address - Zip Code:46226-1783
Mailing Address - Country:US
Mailing Address - Phone:317-871-4511
Mailing Address - Fax:
Practice Address - Street 1:6809 E 52ND PL
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:IN
Practice Address - Zip Code:46226-1783
Practice Address - Country:US
Practice Address - Phone:317-871-4511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN2350113963OtherBUSINESS REQUEST