Cherry Lane Operating Group LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHERRY LANE OPERATING GROUP LLC

Doing business as

Cherry Lane Nursing and Rehabilitation Center

Practice address

9001 Cherry LN
Laurel, MD 20708-1120

Phone

(301) 498-8558

Fax

(301) 317-1851

NPI assigned

Jan 9, 2019

Organization subpart

No

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

Authorized official

Name

Sam Stern

Title

Cfo

Phone

(877) 567-0402

Specialties & licenses 3

Addresses

Other names 1

• Cherry Lane Nursing and Rehabilitation Center Doing business as

Tax ID family

Cherry Lane Nursing and Rehab Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cherry Lane Operating Group LLC

  dba Cherry Lane Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Laurel, MD
  • NPI 1629572508
  NPD tax ID

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1942773247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14C 53RD ST STE 220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322644",
            "telephone_number": "877-567-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081120",
            "telephone_number": "301-498-8558",
            "fax_number": "301-317-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY LANE OPERATING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "877-567-0402"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Lane Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andre Cherisca Jr.
• Pushpa Cheriyan, FNP
• Cherry Lane Medical Investors LLC
• Cherry Lane Medical Supply
• Cherry Lane Operating Group LLC (Cherry Lane Nursing and Rehabilitation Center)
• Deidre Jeanine Cherry, SLP
• Lakeiya Cherry, MSW, LICSW, LCSW-C
• Chesapeake Bay Aquatic & Physical Therapy, Inc
• Chesapeake Bay Aquatic & Physical Therapy, Inc
• Chesapeake Physical & Aquatic Therapy

• Skilled Nursing Facility in Laurel, MD
• Providers in Laurel, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.