Provider Demographics
NPI:1386022192
Name:CHERISHED HC LLC
Entity Type:Organization
Organization Name:CHERISHED HC LLC
Other - Org Name:HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:C
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:417-529-9983
Mailing Address - Street 1:1825 W 7TH ST
Mailing Address - Street 2:STE 1
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64801-3087
Mailing Address - Country:US
Mailing Address - Phone:417-529-9983
Mailing Address - Fax:801-697-9799
Practice Address - Street 1:1825 W 7TH ST
Practice Address - Street 2:STE 1
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64801-3087
Practice Address - Country:US
Practice Address - Phone:417-529-9983
Practice Address - Fax:801-697-9799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014030863251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health