Organization Active NPI

Cherry Hill Home Health LLC

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1164281341
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHERRY HILL HOME HEALTH LLC
Doing business as
Cherry Hill Home Health
Practice address
24067 E 3Rd PL
Aurora, CO 80018-1571
Phone
(720) 779-6142
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Sisay Golla
Title
Owner/President
Phone
(720) 779-6142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

24067 E 3Rd PL
Aurora, CO 80018-1571

Mailing address

24067 E 3Rd PL
Aurora, CO 80018-1571
Phone (720) 779-6142

Other names 1

  • Cherry Hill Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250703001742 CO Part A Provider - Home Health Agency 7618480492 Practice locations: Aurora, CO

Home health agency certification: CCN 067658

Legal name
CHERRY HILL HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 21, 2025
Last certification
Oct 21, 2025
Organization structure
LLCProprietary
Enrollment address
24067 E 3Rd PL
Aurora, CO 80018-1571

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2328528Cherry Hill Home Health LLC24067 E 3Rd Place, Aurora, CO 80018Certificate of waiverAug 11, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yeshi Gebremariam Individual Corporate OfficerVice President/Board Member Mar 15, 2024 25%
Corporate DirectorVice President/Board Member Mar 15, 2024 25%
Emana Saka Individual 5% Or Greater Direct Ownership InterestSecretary/Board Member Mar 15, 2024 50%
Corporate OfficerSecretary/Board Member Mar 15, 2024 25%
Corporate DirectorSecretary/Board Member Mar 15, 2024 25%
Sisay Golla Individual 5% Or Greater Direct Ownership InterestPresident/Treasurer/Board Member Mar 15, 2024 50%
Corporate OfficerPresident/Treasurer/Board Member Mar 15, 2024 50%
Corporate DirectorPresident/Treasurer/Board Member Mar 15, 2024 50%
W-2 Managing EmployeeAd; Mar 15, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1164281341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24067 E 3RD PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800181571",
            "telephone_number": "720-779-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24067 E 3RD PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800181571",
            "telephone_number": "720-779-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HILL HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "GOLLA",
        "authorized_official_first_name": "SISAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "720-779-6142"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Hill Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.