Organization Active NPI

Cherry Blossom Home Care LLC

Doing business as Cherry Blossom Lab Services

  • In Home Supportive Care Agency
  • Upper Marlboro, MD
National Provider Identifier
1821640681
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CHERRY BLOSSOM HOME CARE LLC
Doing business as
Cherry Blossom Lab Services
Practice address
13003 Payton Dr
Upper Marlboro, MD 20774-1907
Phone
(240) 651-9009
Fax
(301) 249-1651
NPI assigned
Jul 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Ms. Lashanna Jillian CoxNPI 1538660345
Title
Owner/Ceo
Phone
(240) 651-9009

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

13003 Payton Dr
Upper Marlboro, MD 20774-1907

Mailing address

13003 Payton Dr
Upper Marlboro, MD 20774-1907
Phone (240) 651-9009

Other names 1

  • Cherry Blossom Lab Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cherryblossomhc@hotmail.com Health Information Exchange (HIE)

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": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1821640681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13003 PAYTON DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741907",
            "telephone_number": "240-651-9009",
            "fax_number": "301-249-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13003 PAYTON DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741907",
            "telephone_number": "240-651-9009",
            "fax_number": "301-249-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY BLOSSOM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "LASHANNA",
        "authorized_official_middle_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "240-651-9009",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cherryblossomhc@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Home Care Agency",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13003 Payton Dr",
            "city": "Upper Marlboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207741907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cherry Blossom Lab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 24, 2022; 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.