Cherry Tree Residential Services, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

001007345 Issued in TX

Legal business name

CHERRY TREE RESIDENTIAL SERVICES, INC

Practice address

2111 W Slaughter Lane
Austin, TX 78748

Phone

(512) 280-3665

Fax

(512) 280-6742

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Teresa Jean Faller-Greenhow

Title

Vice President / Program Adm

Phone

(512) 280-3665

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Cherry Tree Residential Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cherry Tree Residential Services, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Austin, TX
  • NPI 1215130935
  NPD tax ID

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1043233208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 W SLAUGHTER LANE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78748",
            "telephone_number": "512-280-3665",
            "fax_number": "512-280-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W SLAUGHTER LANE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78748",
            "telephone_number": "512-280-3665",
            "fax_number": "512-280-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY TREE RESIDENTIAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "FALLER-GREENHOW",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "VICE PRESIDENT / PROGRAM ADM",
        "authorized_official_telephone_number": "512-280-3665",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "001007345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCS ARLINGHTON",
            "identifier": "001008192",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peggy Lee Ann Chern, M.D.
• Jessica Chernetsky, MD
• Frank J Cherpack, DPM
• Ashley Cherrington
• Cherry Creek Dental Group P.C.
• Cherry Tree Residential Services, Inc.
• Jennifer Cherry
• Jordan Cherry, APRN, CNS
• Katherine Cherry
• Lynna Garland Cherry, O.D

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Austin, TX
• Providers in Austin, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.