Organization Active NPI

Cherished Hearts Private Home Care, LLC

  • Home Health Agency
  • Fayetteville, GA
National Provider Identifier
1851609077
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
060R0387 Issued in GA
Legal business name
CHERISHED HEARTS PRIVATE HOME CARE, LLC
Practice address
115 Commerce Dr
Ste H
Fayetteville, GA 30214-7335
Phone
(770) 719-9333
Fax
(770) 719-9334
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Ms. Tuvache D Moody
Title
Co-Director
Phone
(770) 719-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 060R0387 GA Primary

Addresses

Primary practice location

115 Commerce Dr
Ste H
Fayetteville, GA 30214-7335

Mailing address

115 Commerce Dr
Ste H
Fayetteville, GA 30214-7335
Phone (770) 719-9333

Other identifiers 2

IdentifierTypeStateIssuer
329498928AMedicaidGA
003100783AMedicaidGA

National Provider Directory

National Provider Directory

Locations

115 Commerce Dr
Ste H
Fayetteville, GA 30214
Phone (678) 545-3083

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1851609077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COMMERCE DR",
            "address_2": "STE H",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147335",
            "telephone_number": "770-719-9333",
            "fax_number": "770-719-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COMMERCE DR",
            "address_2": "STE H",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147335",
            "telephone_number": "770-719-9333",
            "fax_number": "770-719-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERISHED HEARTS PRIVATE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "TUVACHE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "770-719-9333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "060R0387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329498928A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003100783A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.