Cherokee Residential Care LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

042586 Issued in MO

Legal business name

CHEROKEE RESIDENTIAL CARE LLC

Practice address

3409 Missouri Ave
Saint Louis, MO 63118

Phone

(314) 368-3247

Fax

(314) 771-1377

NPI assigned

May 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gregory Randal Gettman, NHA

Title

Administrator

Phone

(314) 368-3247

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• New Heights Residential Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1003083155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 MISSOURI AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63118",
            "telephone_number": "314-368-3247",
            "fax_number": "314-771-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 MISSOURI AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63118",
            "telephone_number": "314-368-3247",
            "fax_number": "314-771-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "GETTMAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "RANDAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-368-3247",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "034514",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "042586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266735109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Heights Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherish Home Healthcare Services, LLC
• Deepa Mary Cheriyan, M.D
• Rebecca Danita Chernock, MD
• Cherokee Love LLC
• Cherokee Residential Care Acquisition, LLC
• Rachel M Cherrick, MSW, LMSW
• Emily Sarah Cherry, AGNP
• Robyn Sue Cherry, MSW LCSW
• Allison Leigh Chervitz
• Robin B. Chervitz, LCSW

• Assisted Living Facility (Mental Illness) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.