Active NPI
Cherry Professiona Healthcare Services LLC
- Home Health Agency
- Upper Marlboro, MD
National Provider Identifier
1295396455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Regina G Cherry
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | COMPUTER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Care Attendant
- Upper Marlboro, MD
- NPI 1790341717
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.