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CHERRY HILL HAVEN INC.
NPI 1447592746
Custodial Care Facility - Adult Care Home in Traverse City, MI

Active since March 25, 2013CLIA 23D2092934 · Waiver
4885 N LONG LAKE RD, TRAVERSE CITY, MI 49684(231) 645-2341(231) 933-0706 Get Directions Write a Review

NPPES record last updated: March 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cherry Hill Haven Inc. NPPES

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

CHERRY HILL HAVEN INC. (NPI 1447592746) is a healthcare organization registered as an adult care home in Traverse City, Michigan and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through March 16, 2027 and lists Evon Marita Ryan, Director, as its authorized official.

NPPES Registry Identity

NPI1447592746
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCHERRY HILL HAVEN INC.
Location Address4885 N LONG LAKE RDTraverse City, MI 49684-9605
Mailing Address4885 N Long Lake RdTraverse City, MI 49684-9605 · (231) 645-2341 · Fax (231) 933-0706
Phone(231) 645-2341
Fax(231) 933-0706
Organization SubpartNo
Authorized OfficialEvon Marita RyanDirector · (231) 645-2341
Enumeration DateMarch 25, 2013
✔ NPI 1447592746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in MI · R500238585517
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
4885 N LONG LAKE RD, Traverse City, MI 49684
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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 23D2092934

Cherry Hill Haven Kalkaska · Williamsburg, MI
Active · expires Mar 16, 2027
CLIA Number23D2092934
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorMatt Leblanc
Laboratory Phone(231) 645-2341
Laboratory LocationCherry Hill Haven Kalkaska3412 American Way, Williamsburg, MI 49690
CLIA data matches this NPI record on: Name 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 Cherry Hill Haven Inc.'s NPI number?

The NPI number for Cherry Hill Haven Inc. is 1447592746. It was assigned to this organization in the NPPES registry on March 25, 2013.

Where is Cherry Hill Haven Inc. located?

Cherry Hill Haven Inc. is located at 4885 N Long Lake Rd, Traverse City, MI 49684. The listed phone number is (231) 645-2341.

What is Cherry Hill Haven Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Cherry Hill Haven Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2092934) is associated with this NPI, valid through March 16, 2027. 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 Hill Haven Inc. was last updated on March 25, 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.