Provider Demographics
NPI:1760780134
Name:CHERISH HOME HEALTHCARE
Entity Type:Organization
Organization Name:CHERISH HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:ROUCELL
Authorized Official - Middle Name:L
Authorized Official - Last Name:ESMANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-601-4548
Mailing Address - Street 1:4780 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60638-1531
Mailing Address - Country:US
Mailing Address - Phone:708-594-5424
Mailing Address - Fax:708-594-5433
Practice Address - Street 1:4780 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-1531
Practice Address - Country:US
Practice Address - Phone:708-594-5424
Practice Address - Fax:708-594-5433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010935251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health