NPIMap

Organization Active NPI

Cherry Blossom Medical Staffing, LLC

  • In Home Supportive Care Agency
  • Upper Marlboro, MD
National Provider Identifier
1134733892
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CHERRY BLOSSOM MEDICAL STAFFING, LLC
Practice address
13003 Payton Dr
Upper Marlboro, MD 20774-1907
Phone
(124) 065-1900
Fax
(301) 249-1651
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Ms. Lashanna Jillian CoxNPI 1538660345
Title
Ceo
Phone
(240) 651-9009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

13003 Payton Dr
Upper Marlboro, MD 20774-1907

Mailing address

13003 Payton Dr
Upper Marlboro, MD 20774-1907
Phone (240) 651-9009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cherryblossomstaffing@outlook.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1134733892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13003 PAYTON DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741907",
            "telephone_number": "240-651-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13003 PAYTON DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741907",
            "telephone_number": "124-065-1900",
            "fax_number": "301-249-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY BLOSSOM MEDICAL STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "LASHANNA",
        "authorized_official_middle_name": "JILLIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-651-9009",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cherryblossomstaffing@outlook.com",
            "affiliation": "N",
            "address_1": "13003 Payton Dr",
            "city": "Upper Marlboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207741907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.