Provider Demographics
NPI:1184151391
Name:CHERY HEALTH CARE MULTI SERVICES
Entity type:Organization
Organization Name:CHERY HEALTH CARE MULTI SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:V
Authorized Official - Last Name:CHERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-447-1401
Mailing Address - Street 1:PO BOX 7043
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34290-0043
Mailing Address - Country:US
Mailing Address - Phone:941-777-3631
Mailing Address - Fax:941-227-1739
Practice Address - Street 1:1739 QUEEN PALM WAY
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34288-8656
Practice Address - Country:US
Practice Address - Phone:941-777-3631
Practice Address - Fax:941-227-1739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-18
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========Medicaid