Healthcare Provider Details

I. General information

NPI: 1861285256
Provider Name (Legal Business Name): CHERRY MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1842 S PARKER RD
DENVER CO
80231-2274
US

IV. Provider business mailing address

1842 S PARKER RD UNIT 23
DENVER CO
80231-2927
US

V. Phone/Fax

Practice location:
  • Phone: 720-829-9083
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: LULIIA VYSHNIAVSKA
Title or Position: CO OWNER-PARTNER
Credential:
Phone: 720-829-9083