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CHERRY BLOSSOM MANOR, INC.
NPI 1174907380
Assisted Living Facility in Hart, MI

Active since July 17, 2015CLIA 23D2200437 · Waiver
611 E MAIN ST, SUITE B, HART, MI 49420(231) 873-5377(231) 873-7108 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cherry Blossom Manor, Inc. NPPES

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

CHERRY BLOSSOM MANOR, INC. (NPI 1174907380) is a healthcare organization registered as an assisted living facility in Hart, Michigan and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Patricia Ann Hindman, President, as its authorized official.

NPPES Registry Identity

NPI1174907380
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCHERRY BLOSSOM MANOR, INC.
Location Address611 E MAIN ST, SUITE BHart, MI 49420-1190
Mailing AddressPo Box 332Hart, MI 49420-0332 · (231) 873-5377 · Fax (231) 873-7108
Phone(231) 873-5377
Fax(231) 873-7108
Organization SubpartNo
Authorized OfficialPatricia Ann HindmanPresident · (231) 873-5377
Enumeration DateJuly 17, 2015
✔ NPI 1174907380 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 MI · AH640236763
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.
611 E MAIN ST, Hart, MI 49420
Open in Google Maps ↗

Other Identifiers 1

Medicaid4523065MI

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 23D2200437

Cherry Blossom Manor, Inc · Hart, MI
Active · expires Nov 15, 2026
CLIA Number23D2200437
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorPatricia A. Hindman
Laboratory Phone(231) 873-5371
Laboratory LocationCherry Blossom Manor, Inc611 E Main Street Suite B, Hart, MI 49420
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SONJA DIETTA MAYO LMSW
Social Worker
611 E MAIN ST
HART, MI 49420
Oceana County (231) 873-6900
MERCY HEALTH PARTNERS
Family Medicine
611 E MAIN ST
HART, MI 49420
Oceana County (231) 873-5675
DR. MIKE KOZMINSKI M.D.
Urology
611 E MAIN ST
HART, MI 49420
Oceana County (231) 873-6900
LAKESHORE COMMUNITY HOSPITAL, INC.
Family Medicine
611 E MAIN ST
HART, MI 49420
Oceana County (231) 873-5675
CHRISTOPHER R ULRICH PA
Physician Assistant (Medical)
611 E MAIN ST
HART, MI 49420
Oceana County (231) 873-5675
MERCY HEALTH PARTNERS
Clinic/Center (Rural Health)
611 E MAIN ST
HART, MI 49420
Oceana County (231) 873-5675
MRS. MARSTIE SUE BUNTING D-NP
Nurse Practitioner (Family)
611 E MAIN ST
HART, MI 49420
Oceana County (231) 873-6900
RUDY C OCHS DO
Family Medicine
611 E MAIN ST
HART, MI 49420
Oceana County (231) 873-5675

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 Cherry Blossom Manor, Inc.'s NPI number?

The NPI number for Cherry Blossom Manor, Inc. is 1174907380. It was assigned to this organization in the NPPES registry on July 17, 2015.

Where is Cherry Blossom Manor, Inc. located?

Cherry Blossom Manor, Inc. is located at 611 E Main St Suite B, Hart, MI 49420. The listed phone number is (231) 873-5377.

What is Cherry Blossom Manor, Inc.'s specialty?

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

Does Cherry Blossom Manor, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2200437) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cherry Blossom Manor, Inc. was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.