Cherrywood Advanced Living, LLC
Organization Active NPI Assisted Living Facility · Andover, MN
NPI 1356765192 · NPPES record last updated Feb 14, 2014
Key facts
- NPI
- 1356765192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- CHERRYWOOD ADVANCED LIVING, LLC
- Practice address
- 1889 139TH Ave NW
Andover, MN 55304 - Phone
- (320) 257-7445
- NPI assigned
- Feb 14, 2014
- Organization subpart
- No
Authorized official
- Name
- Wendy Hulsebus
- Title
- Chief Financial Officer
- Phone
- (320) 257-7445
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Cherrywood Advanced Living LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
1889 139TH Ave NW
Andover, MN 55304
Mailing address
1685 4TH Ave N
Sauk Rapids, MN 56379-2708
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CHERRYWOOD 1889 | Other | HOUSING WITH SERVICES MINNESOTA |
Other providers in Andover, MN
- Rhodessa Fidela Kabatay Burt
- Caregivers Making a Difference
- Alex Carlson
- Rondilienne Nichole Chastanet
- Cherrywood Advanced Living, LLC
- Amy Cheruvathoor
- Clarice Akiyo Chikazawa
- Roxana Isabel Chirinos
- Andrea Christ
- Julie Elizabeth Christianson
All providers in Andover, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.