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MEADOW CREEK LLC
NPI 1033233788
Substance Abuse Rehabilitation Facility in Pine City, MN

Active since March 19, 2007CLIA 24D2056596 · Waiver
17305 MEADOW CREEK LANE, PINE CITY, MN 55063(763) 444-4838(763) 444-6007 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Meadow Creek Llc NPPES

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

MEADOW CREEK LLC (NPI 1033233788), doing business as Eosis Meadow Creek, is a healthcare organization registered as a substance abuse rehabilitation facility in Pine City, Minnesota and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Lewis P Zeidner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033233788
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMEADOW CREEK LLC
Location Address17305 MEADOW CREEK LANEPine City, MN 55063
Mailing Address550 Main Street, Suite 230New Brighton, MN 55112 · (612) 326-7600 · Fax (651) 631-3231
Phone(763) 444-4838
Fax(763) 444-6007
Organization SubpartNo
Authorized OfficialLewis P ZeidnerCeo · (763) 245-8278
Enumeration DateMarch 19, 2007
Last NPPES UpdateFebruary 21, 2025
✔ NPI 1033233788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Licenses✔ Licensed in MN · 804733 2 CDT✔ Licensed in MN · 804733✔ Licensed in MN · 1033825 2 DS
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
17305 MEADOW CREEK LANE, Pine City, MN 55063
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Other Names 1

Doing Business AsEosis Meadow Creek

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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 24D2056596

Meadow Creek Dba Eosis Meadow Creek · Pine City, MN
Active · expires Mar 28, 2027
CLIA Number24D2056596
Laboratory TypeSub Treatment Facility
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorEmily Brunner
Laboratory Phone(612) 454-5000
Laboratory LocationMeadow Creek Dba Eosis Meadow Creek17305 Meadow Creek Lane, Pine City, MN 55063
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIANNE BERNADETTE THIRY LADC
Counselor (Addiction (Substance Use Disorder))
17305 MEADOW CREEK LANE
PINE CITY, MN 55063
Pine County (763) 444-4878
SHIRLEEN KAY ROACH LAMFT
Counselor (Mental Health)
17305 MEADOW CREEK LANE
PINE CITY, MN 55063
Pine County (763) 444-4838
MISS SHELLEY ANN SKARDA B.S. LADC
Counselor (Addiction (Substance Use Disorder))
17305 MEADOW CREEK LANE
PINE CITY, MN 55063
Pine County (763) 444-4838
MEADOW CREEK, INC
Substance Abuse Rehabilitation Facility
17305 MEADOW CREEK LANE
PINE CITY, MN 55063
Pine County (612) 326-7555

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 Meadow Creek LLC's NPI number?

The NPI number for Meadow Creek LLC is 1033233788. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Eosis Meadow Creek.

Where is Meadow Creek LLC located?

Meadow Creek LLC is located at 17305 Meadow Creek Lane, Pine City, MN 55063. The listed phone number is (763) 444-4838.

What is Meadow Creek LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Meadow Creek LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2056596) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Meadow Creek LLC accept?

Health plans from HealthPartners list Meadow Creek LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Meadow Creek LLC was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.