CHERRY BLOSSOM HOME CARE LLC (NPI# 1821640681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821640681 |
| Entity Type | Organization |
| Organization Name | CHERRY BLOSSOM HOME CARE LLC |
| Practice Address |
13003 Payton Dr Upper Marlboro MD 20774-1907 |
| Practice Telephone | 2406519009 |
| Practice Fax Number | 3012491651 |
| Mailing Telephone | 2406519009 |
| Mailing Fax Number | 3012491651 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | MS. LASHANNA JILLIAN COX (OWNER/CEO) |
| Authorized Official Telephone | 2406519009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
13003 PAYTON DR |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538660345 | Lashanna Jillian Cox | Technician | 13003 Payton Dr, Upper Marlboro, MD 20774-1907 | 2018-02-27 |
| 1134733892 | Cherry Blossom Medical Staffing, LLC | Home Health | 13003 Payton Dr, Upper Marlboro, MD 20774-1907 | 2020-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053880047 | Serving You Homecare | In Home Supportive Care | 3915 Rolling Paddock Dr, Upper Marlboro, MD 20772-8022 | 2018-11-19 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1215425475 | Beyond Care Providers Inc | In Home Supportive Care | 9533 Weshurst Ln, Upper Marlboro, MD 20774-2434 | 2018-04-24 |
| 1851897235 | Frandy Health Care Services LLC | In Home Supportive Care | 210 Castleton Ter, Upper Marlboro, MD 20774 | 2018-04-03 |
| 1013410372 | Mary Virginia Bailey | In Home Supportive Care | 9716 Woodyard Cir, Upper Marlboro, MD 20772-4390 | 2018-03-13 |
| 1134581804 | Ourcare Inc. | In Home Supportive Care | 10640 Campus Way S, 250, Upper Marlboro, MD 20774-1307 | 2016-03-22 |
| 1245614189 | Tint Services LLC | In Home Supportive Care | 11306 Bennington Dr, Upper Marlboro, MD 20774-1417 | 2015-07-09 |
| 1427346493 | Magnate Health and Medical Services, LLC | In Home Supportive Care | 14290 Hampshire Hall Ct, Upper Marlboro, MD 20772-2936 | 2011-07-12 |
| 1265768550 | Hope Health Care LLC | In Home Supportive Care | 11408 Vega Ct, Upper Marlboro, MD 20774-3541 | 2009-10-22 |
| 1356957864 | Connect To Care Counseling Services, LLC | In Home Supportive Care | 9701 Apollo Dr Ste 370, Upper Marlboro, MD 20774-4796 | 2020-09-21 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.