Provider Demographics
NPI:1942851423
Name:CHERISH COMPANION & CARE
Entity Type:Organization
Organization Name:CHERISH COMPANION & CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:0WNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KISSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-667-2346
Mailing Address - Street 1:612 WILD TURKEY RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-6704
Mailing Address - Country:US
Mailing Address - Phone:912-667-2346
Mailing Address - Fax:
Practice Address - Street 1:612 WILD TURKEY RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-6704
Practice Address - Country:US
Practice Address - Phone:912-667-2346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1366970907Medicaid