Cherrywood Garden Group Home

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

CHERRYWOOD GARDEN GROUP HOME

Practice address

2808 S 10TH St
Fort Pierce, FL 34982-4306

Phone

(772) 672-1555

NPI assigned

Dec 21, 2016

Organization subpart

No

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

Authorized official

Name

Beverly CampbellNPI 1326467374

Title

Ceo

Phone

(772) 672-1555

Specialties & licenses 1

Addresses

Practitioners 1

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

• Beverly Campbell

  • Nursing Home Administrator
  • Fort Pierce, FL
  • NPI 1326467374
  NPD (past) Authorized official

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1154866523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 S 10TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349824306",
            "telephone_number": "772-672-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S 10TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349824306",
            "telephone_number": "772-672-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRYWOOD GARDEN GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-672-1555"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Claudel Charles, DNP, FNP-C
• Olivia Charles, MD
• Yvelande Charles
• Amanda Chauncey, RPT
• Kayla Chenault, M.ED
• Cheyne Family Chiropractic Centre
• Gordon Cheyne II, DC
• Gordon Gregory Cheyne, DC
• Nicole Kelly Cheyne, D.C.
• Robert Steven Cheyne, DC

• Developmental Disabilities Clinic/Center in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.