Provider Demographics
NPI:1902203839
Name:CHERIE'S TENDER CARE INC
Entity Type:Organization
Organization Name:CHERIE'S TENDER CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TARSHIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:504-945-8118
Mailing Address - Street 1:PO BOX 3791
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70177-3791
Mailing Address - Country:US
Mailing Address - Phone:504-945-8118
Mailing Address - Fax:504-309-7560
Practice Address - Street 1:5620 ST.CLAUDE AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-2534
Practice Address - Country:US
Practice Address - Phone:504-945-8118
Practice Address - Fax:504-309-7560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9297251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1475211Medicaid