CHERRYWOOD OF BIG LAKE 177
NPI 1013280882
Assisted Living Facility in Big Lake, MN
About Cherrywood Of Big Lake 177 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHERRYWOOD OF BIG LAKE 177 (NPI 1013280882) is a healthcare organization registered as an assisted living facility in Big Lake, Minnesota and active in the NPI registry since February 2012. The organization holds 2 active CLIA laboratory certificates and lists Wendy Hulsebus, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D2044060
Cherrywood Of Big Lake 177 · Big Lake, MNCertificate of Waiver 24D2057663
Cherrywood Of Big Lake 171 · Big Lake, MNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cherrywood Advanced Living, LLC's NPI number?
The NPI number for Cherrywood Advanced Living, LLC is 1013280882. It was assigned to this organization in the NPPES registry on February 9, 2012. The provider is also known as Cherrywood Of Big Lake 177.
Where is Cherrywood Advanced Living, LLC located?
Cherrywood Advanced Living, LLC is located at 177 Henry Road, Big Lake, MN 55309. The listed phone number is (320) 257-7445.
What is Cherrywood Advanced Living, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Cherrywood Advanced Living, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Cherrywood Advanced Living, LLC was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cherrywood Of Big Lake 177 · NPI 1013280882
Assisted Living Facility organization in Big Lake, Minnesota. Organization record, active in the CMS NPPES registry since February 9, 2012.
## Identity
- **NPI:** 1013280882 (Entity type: Organization)
- **Enumerated:** February 9, 2012
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Cherrywood Advanced Living, Llc
- **Organization subpart:** No
- **Authorized official:** Wendy Hulsebus, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 177 HENRY ROAD, Big Lake, MN 55309
- **Phone:** (320) 257-7445
## Record status
- **NPPES last updated:** February 9, 2012
- **Other identifiers:** Other 354110 (MN)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013280882) · Data from the CMS NPPES public registry.