Provider Demographics
NPI:1457172330
Name:CHERISHING MOMENTS HOME HEALTH LLC
Entity type:Organization
Organization Name:CHERISHING MOMENTS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASITA
Authorized Official - Middle Name:RAMEKIA
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-942-7904
Mailing Address - Street 1:152 PURPLE SANDPIPER LN
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-5421
Mailing Address - Country:US
Mailing Address - Phone:512-713-5066
Mailing Address - Fax:
Practice Address - Street 1:11880 HERO WAY W STE 701
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-8594
Practice Address - Country:US
Practice Address - Phone:512-942-7904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health