Active NPI
Cherry Hill Home Health LLC
- Home Health Agency
- Aurora, CO
National Provider Identifier
1164281341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 24067 E 3Rd PL
Aurora, CO 80018-1571
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2328528 | Cherry Hill Home Health LLC | Certificate of waiver | Aug 11, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Yeshi Gebremariam | Corporate Officer | Mar 15, 2024 | 25% |
| Corporate Director | Mar 15, 2024 | 25% | |
| Emana Saka | 5% Or Greater Direct Ownership Interest | Mar 15, 2024 | 50% |
| Corporate Officer | Mar 15, 2024 | 25% | |
| Corporate Director | Mar 15, 2024 | 25% | |
| Sisay Golla | 5% Or Greater Direct Ownership Interest | Mar 15, 2024 | 50% |
| Corporate Officer | Mar 15, 2024 | 50% | |
| Corporate Director | Mar 15, 2024 | 50% | |
| W-2 Managing Employee | 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
- Julia Miriam Chernis, MD
- Elizabeth Claire Chernuta, MSN, CPNP-AC
- Cherokee Trails Dental Care, LLC
- Cherry Creek Physical Therapy, PC
- Cherry Creek Suboxone Clinic,LLC
- Cherry Hills Adult Daycare Corp.
- Cherry Hills Home Care Corp.
- Cherry Hills Home Care Corp.
- Cherry Hills Sober Living Corp
- Cherry Hills Support Services Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.