Organization Active NPI

Chery Adult Family Care Home

  • Adult Care Home Facility
  • Port Charlotte, FL
National Provider Identifier
1508203571
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6905514 Issued in FL
Legal business name
CHERY ADULT FAMILY CARE HOME
Practice address
1048 Renoir St
Port Charlotte, FL 33952-1762
Phone
(941) 629-9570
NPI assigned
May 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Mary A CheryNPI 1679231732
Title
Owner
Phone
(941) 629-9570

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6905514 FL Primary

Addresses

Primary practice location

1048 Renoir St
Port Charlotte, FL 33952-1762

Mailing address

1048 Renoir St
Port Charlotte, FL 33952-1762
Phone (941) 629-9570

Other identifiers 1

IdentifierTypeStateIssuer
141708800MedicaidFL

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": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1508203571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 RENOIR ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339521762",
            "telephone_number": "941-629-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 RENOIR ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339521762",
            "telephone_number": "941-629-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERY ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "CHERY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-629-9570"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6905514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141708800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.