Provider Demographics
NPI:1386743292
Name:CHERRY HOME HEALTH SERVICES, INC
Entity type:Organization
Organization Name:CHERRY HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:PELAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-556-6088
Mailing Address - Street 1:1671 W 38TH PL STE 1408
Mailing Address - Street 2:SUITE C
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7032
Mailing Address - Country:US
Mailing Address - Phone:305-556-6088
Mailing Address - Fax:305-822-4131
Practice Address - Street 1:1671 W 38TH PL STE 1408
Practice Address - Street 2:SUITE C
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7032
Practice Address - Country:US
Practice Address - Phone:305-556-6088
Practice Address - Fax:305-822-4131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health