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CHERRYWOOD ST CLOUD 1030
NPI 1790128049
Assisted Living Facility in St Cloud, MN

Active since April 16, 2013
1030 VOYAGEUR ST, ST CLOUD, MN 56303(320) 257-7445(320) 257-7447 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cherrywood St Cloud 1030 NPPES

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

CHERRYWOOD ST CLOUD 1030 (NPI 1790128049) 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 lists Wendy Hulsebus, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1790128049
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCHERRYWOOD ADVANCED LIVING, LLC
Location Address1030 VOYAGEUR STSt Cloud, MN 56303
Mailing Address1685 4th Ave NSauk Rapids, MN 56379-2708 · (320) 257-7445 · Fax (320) 257-7447
Phone(320) 257-7445
Fax(320) 257-7447
Organization SubpartNo
Authorized OfficialWendy HulsebusChief Operating Officer · (320) 257-7445
Enumeration DateApril 16, 2013
✔ NPI 1790128049 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.
1030 VOYAGEUR ST, St Cloud, MN 56303
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Other Names 1

Doing Business AsCherrywood St Cloud 1030

Other Identifiers 1

Other360196MN · Housing With Services License

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 1790128049. It was assigned to this organization in the NPPES registry on April 16, 2013. The provider is doing business as Cherrywood St Cloud 1030.

Where is Cherrywood Advanced Living, LLC located?

Cherrywood Advanced Living, LLC is located at 1030 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.

When was this NPI record last updated?

The NPPES record for Cherrywood Advanced Living, LLC was last updated on April 16, 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.