CHERRYWOOD ADVANCED LIVING, LLC (NPI# 1356765192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356765192 |
| Entity Type | Organization |
| Organization Name | CHERRYWOOD ADVANCED LIVING, LLC |
| Practice Address |
1889 139th Ave Nw Andover MN 55304 |
| Mailing Address |
1685 4th Ave N Sauk Rapids MN 56379-2708 |
| Practice Telephone | 3202577445 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |
| Authorized Official Name | WENDY HULSEBUS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3202577445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HOUSING WITH SERVICES MINNESOTA | CHERRYWOOD 1889 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1790128049 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1030 Voyageur St, St Cloud, MN 56303 | 2013-04-16 |
| 1013350693 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1036 Voyageur St, St Cloud, MN 56303 | 2013-04-12 |
| 1295008068 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 171 Henry Road, Big Lake, MN 55309 | 2012-02-09 |
| 1013280882 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 177 Henry Road, Big Lake, MN 55309 | 2012-02-09 |
| 1821378183 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1637 4th Ave N, Sauk Rapids, MN 56379-4596 | 2011-08-18 |
| 1558652909 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 150 Barry Ave Nw, Richmond, MN 56368-4560 | 2011-04-20 |
| 1558896415 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1637 4th Ave N, Sauk Rapids, MN 56379-4596 | 2017-04-27 |
| 1831624790 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1637 4th Ave N, Sauk Rapids, MN 56379-4596 | 2017-04-27 |
| Street Address |
1889 139TH AVE NW |
| City | ANDOVER |
| State | MN |
| Zip Code | 55304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1124544895 | Msp Dentistry Inc | Preferred Provider Organization | 13650 Hanson Blvd., Suite #110, Andover, MN 55304 | 2017-08-15 |
| 1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
| 1700286903 | Jari Welle, Inc. | Marriage & Family Therapist | 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 | 2014-08-26 |
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1740619568 | Delores Weikle | Physical Therapist | 14531 Jay St, Andover, MN 55304 | 2013-11-02 |
| 1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
| 1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
| 1871755207 | Mary Elizabeth Ruprecht | Occupational Therapist | 13983 Magnolia St Nw, Andover, MN 55304 | 2008-06-26 |
| Find all providers in zip 55304 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598317588 | The Mapleton Andover LLC | Assisted Living Facility | 1419 W Central Ave, Andover, KS 67002-7202 | 2019-07-10 |
| 1619393824 | Presbyterian Homes of Andover,inc. | Assisted Living Facility | 13733 Quay St Nw, Andover, MN 55304-3620 | 2014-03-12 |
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
| 1992850432 | Andover Senior Care, LLC | Assisted Living Facility | 408 E Central Ave, Andover, KS 67002-8556 | 2007-01-24 |
| 1205825858 | Marland Place | Assisted Living Facility | 15 Stevens St, Andover, MA 01810-3599 | 2005-10-17 |
| 1558700765 | Wg Marland Place Sh, LLC | Assisted Living Facility | 15 Stevens St, Andover, MA 01810-3599 | 2013-06-20 |
| 1013043975 | Olsl Marland Place, LLC | Assisted Living Facility | 15 Stevens St, Andover, MA 01810-3599 | 2007-02-26 |
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| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
| 1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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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.