Organization Active NPI

Cherry Professiona Healthcare Services LLC

  • Home Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1295396455
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHERRY PROFESSIONA HEALTHCARE SERVICES LLC
Practice address
4514 Bridle Ridge Rd
Upper Marlboro, MD 20772-8154
Phone
(571) 730-8320
Fax
(571) 264-9012
NPI assigned
Jun 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Mrs. Regina G CherryNPI 1790341717
Title
Co President
Phone
(571) 730-8320

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
PACE Provider Organization 251T00000X
Voluntary or Charitable Agency 251V00000X
In Home Supportive Care Agency 253Z00000X
Religious Nonmedical Health Care Institution 282J00000X
Preferred Provider Organization 305R00000X
Point of Service 305S00000X

Addresses

Primary practice location

4514 Bridle Ridge Rd
Upper Marlboro, MD 20772-8154

Mailing address

PO Box 6087
Columbia, MD 21045-8087
Phone (571) 264-9012

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL COMPUTER

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": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1295396455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6087",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210458087",
            "telephone_number": "571-264-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 BRIDLE RIDGE RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728154",
            "telephone_number": "571-730-8320",
            "fax_number": "571-264-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY PROFESSIONA HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CO PRESIDENT",
        "authorized_official_telephone_number": "571-730-8320",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "COMPUTER",
            "affiliation": "N",
            "address_1": "4514 Bridle Ridge Rd",
            "city": "Upper Marlboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207728154",
            "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 Jun 27, 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.