Active NPI
Cherished Hearts Private Home Care, LLC
- Home Health Agency
- Fayetteville, GA
National Provider Identifier
1851609077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 060R0387
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329498928A | Medicaid | GA | |
| 003100783A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.