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CHERRY HILL HAVEN INC. NPI 1447592746


NPI Information

NPI: 1447592746
Provider Name: CHERRY HILL HAVEN INC.
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 23D2092934

Address:
4885 N LONG LAKE RD
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 645-2341
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CHERRY HILL HAVEN INC. is an adult care home custodial care facility in Traverse City, MI. The provider is 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. CHERRY HILL HAVEN INC. NPI is 1447592746. The provider is registered as an organization entity type.

The provider's business location address is:

4885 N LONG LAKE RD
TRAVERSE CITY, MI
ZIP 49684-605
Phone: (231) 645-2341
Fax: (231) 933-0706

The provider's authorized official is Evon Marita Ryan .
The authorized official title is Director and has the following contact phone number (231) 645-2341.

The CLIA number assigned to this NPI record is 23D2092934 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2013 and was last updated on 3/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeR500238585517MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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