CHERRYWOOD ST CLOUD 1036
NPI 1013350693
Assisted Living Facility in St Cloud, MN

Q: What is Cherrywood Advanced Living, LLC's NPI number?

The NPI number for Cherrywood Advanced Living, LLC is 1013350693. It was assigned to this organization in the NPPES registry on April 12, 2013. The provider is doing business as Cherrywood St Cloud 1036.

Q: What is Cherrywood Advanced Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since April 12, 2013CLIA 24D2079440 · Waiver

1036 VOYAGEUR ST, ST CLOUD, MN 56303(320) 257-7445(320) 257-7447 Get Directions Write a Review

NPPES record last updated: April 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cherrywood St Cloud 1036 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERRYWOOD ST CLOUD 1036 (NPI 1013350693) is a healthcare organization registered as an assisted living facility in St Cloud, Minnesota and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists Wendy Hulsebus, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1013350693

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCHERRYWOOD ADVANCED LIVING, LLC

Location Address1036 VOYAGEUR STSt Cloud, MN 56303

Mailing Address1685 4th Ave NSauk Rapids, MN 56379-2708 · (320) 257-7445

Phone(320) 257-7445

Fax(320) 257-7447

Organization SubpartNo

Authorized OfficialWendy HulsebusChief Operating Officer · (320) 257-7445

Enumeration DateApril 12, 2013

✔ NPI 1013350693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MN · 357491

Definition

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.

1036 VOYAGEUR ST, St Cloud, MN 56303

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Other Names 1

Doing Business AsCherrywood St Cloud 1036

Other Identifiers 1

Other360195MN · Housing With Services License

CLIA Laboratory Certificates CMS CLIA

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 24D2079440

Cherrywood Of St Cloud 1036 · Saint Cloud, MN

Active · expires Jun 16, 2028

CLIA Number24D2079440

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 17, 2026

Certificate Expiration DateJune 16, 2028

Laboratory DirectorAmy Schermer

Laboratory Phone(320) 257-7445

Laboratory LocationCherrywood Of St Cloud 10361036 Voyager Street, Saint Cloud, MN 56303

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 1013350693. It was assigned to this organization in the NPPES registry on April 12, 2013. The provider is doing business as Cherrywood St Cloud 1036.

Where is Cherrywood Advanced Living, LLC located?

Cherrywood Advanced Living, LLC is located at 1036 Voyageur St, St Cloud, MN 56303. 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2079440) is associated with this NPI, valid through June 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cherrywood Advanced Living, LLC was last updated on April 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.