Cherry Bolden, C.E.O

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

B023022 Issued in KS

Practice address

1126 Hilltop Dr
Lawrence, KS 66044-4530

Phone

(785) 424-7470

NPI assigned

Sep 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Comfort Care

  • Home Health Agency
  • Lawrence, KS
  • NPI 1932505245
  NPD (past) Authorized official
• Serenity Senior Care

  • Adult Day Care Clinic/Center
  • Lawrence, KS
  • NPI 1497306682
  Authorized official Same address or phone

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1053962498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 WILDWOOD DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493752",
            "telephone_number": "785-979-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 HILLTOP DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660444530",
            "telephone_number": "785-424-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "CHERRY",
        "credential": "C.E.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KS",
            "license": "B023022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "serenityseniorcare@yahoo.com",
            "affiliation": "N",
            "address_1": "1126 Hilltop Dr",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660444530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Bobey, LSCSW
• Daniel Bock, D.D.S.
• Isabel F Boehms
• Michael J Bohoskey, D.C.
• Michele Marie Bointy, LSCSW
• Carmela Marie Boller, APRN
• Christine Elizabeth Boller, PMHNP
• John Bomhoff, LMSW
• Stacia Leigh Bone, MSPT
• Sophie Bonilla, RBT

• Adult Day Care Clinic/Center in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Adult Day Care Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.