Provider Demographics
NPI:1861285256
Name:CHERRY MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:CHERRY MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER-PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LULIIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VYSHNIAVSKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-829-9083
Mailing Address - Street 1:1842 S PARKER RD UNIT 23
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2927
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1842 S PARKER RD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2274
Practice Address - Country:US
Practice Address - Phone:720-829-9083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies