CHERRYWOOD ADVANCED LIVING, LLC (NPI# 1558652909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558652909 |
Entity Type | Organization |
Organization Name | CHERRYWOOD ADVANCED LIVING, LLC |
Other Organization Name | CHERRYWOOD OF RICHMOND |
Practice Address |
150 Barry Ave Nw Richmond MN 56368-4560 |
Mailing Address |
1685 4th Ave N Sauk Rapids MN 56379-2708 |
Practice Telephone | 3205976150 |
Practice Fax Number | 3205976151 |
Mailing Telephone | 3202577445 |
Mailing Fax Number | 3202577447 |
Enumeration Date | 2011-04-20 |
Last Update Date | 2011-08-18 |
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 | 348548 | MN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | CLASS F LICENSURE | 352583 | 01 |
MN | HOUSING WITH SERVICES 150 | 353285 | 01 |
MN | BOARD AND LODGING LICENSE 150 | 5352 | 01 |
Other Name | Type Code |
---|---|
Cherrywood of Richmond | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356765192 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1889 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
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 |
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 |
150 BARRY AVE NW |
City | RICHMOND |
State | MN |
Zip Code | 56368-4560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902862592 | Regional Health Center of Richmond, Inc. | Chiropractor | 307 Ivy Ave Se, Richmond, MN 56368 | 2006-04-24 |
1073581336 | Marlene Shari Heitke | Nurse Practitioner | 130 1st St., Richmond, MN 56368 | 2006-03-10 |
1508344391 | Ryan Mareck | Family Medicine | 130 1st St Ne, Richmond, MN 56368 | 2018-08-02 |
1225122328 | Charles Chown Reichert | Dentist | 34 East Main St, Richmond, MN 56368-0220 | 2006-10-03 |
1457549800 | Prodigy Optical, Inc | Eyewear Supplier (Equipment, not the service) | 314 Ivy Ave Se, Richmond, MN 56368-4509 | 2007-10-11 |
1033403662 | Corey Douglas Norton | Chiropractor | 307 Ivy Ave Se, Richmond, MN 56368-4509 | 2011-05-31 |
1134261597 | Jennifer Andrea Lourey | Chiropractor | 307 Ivy Ave Se, Richmond, MN 56368-4509 | 2007-02-13 |
1699733626 | Paynesville Area Hospital District | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2006-05-01 |
1144653734 | Centracare Health-paynesville LLC | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2013-08-19 |
1952909038 | Kaitlyn Rae Schlangen | Dietitian, Registered | 512 Main St E, Richmond, MN 56368-8230 | 2020-10-12 |
Find all providers in zip 56368 |
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 |
---|---|---|---|---|
1275143083 | Rumd Inc | Assisted Living Facility | 25155 Fulshear Gaston Rd, Richmond, TX 77406-7740 | 2020-08-06 |
1306462551 | Lillian W Oliver | Assisted Living Facility | 5606 Drumlin Field Way, Richmond, TX 77407-1466 | 2020-06-24 |
1508380601 | Salem Seyoum | Assisted Living Facility | 11210 Mellingshaw Ln, Richmond, TX 77407-1852 | 2017-07-31 |
1710358148 | Forever Living Assistant Care Home Corp. | Assisted Living Facility | 3701 Crestview Rd, Richmond, VA 23223-8107 | 2015-10-12 |
1528443892 | Senior Suites At The Leland | Assisted Living Facility | 900 South 'a' Street, Richmond, IN 47374-3072 | 2015-07-28 |
1922496181 | Brittnii Roots | Assisted Living Facility | 113 Shreveport Rd, Richmond, VA 23223-3394 | 2014-12-22 |
1629408513 | Saint Francis Home | Assisted Living Facility | 65 W Clopton St, Richmond, VA 23225-3957 | 2013-11-14 |
1255620431 | Lamplight Inn At The Leland, LLC | Assisted Living Facility | 900 S A St, Richmond, IN 47374-5558 | 2011-03-28 |
1972807808 | Maggie's Homes | Assisted Living Facility | 2800 Santa Clara St, Richmond, CA 94804-5928 | 2011-01-06 |
1427283159 | Richmond Eldercare Coalition | Assisted Living Facility | 18 Hathorn St, Richmond, ME 04357-1161 | 2009-05-26 |
Find all providers in RICHMOND |
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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.