Cherry Hill Haven Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

R500238585517 Issued in MI

Legal business name

CHERRY HILL HAVEN INC.

Practice address

4885 N Long Lake Rd
Traverse City, MI 49684-9605

Phone

(231) 645-2341

Fax

(231) 933-0706

NPI assigned

Mar 25, 2013

Organization subpart

No

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

Authorized official

Name

Evon Marita Ryan

Title

Director

Phone

(231) 645-2341

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1447592746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 N LONG LAKE RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849605",
            "telephone_number": "231-645-2341",
            "fax_number": "231-933-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 N LONG LAKE RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849605",
            "telephone_number": "231-645-2341",
            "fax_number": "231-933-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HILL HAVEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "EVON",
        "authorized_official_middle_name": "MARITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "231-645-2341"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "R500238585517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalya Chegudi, M.S.
• John Austin Wren Chellis, DPT
• Cherry Bay Dental
• Cherry Bend Family Care, PLC
• Cherry Capital Cab LLC
• Cherryland Chiropractic Centre PC
• Sarah Juliana Chichester, PMHNP
• Erika Chick, CGC
• Child & Family Services of Northwestern Michigan, Inc.
• Lisa Chimner, MD

• Adult Care Home Facility in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.