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MAY CREEK
NPI 1053794362
Assisted Living Facility in Walker, MN

Active since July 06, 2015CLIA 24D1062276 · Waiver
303 10TH STREET SOUTH, WALKER, MN 56484(701) 757-5465 Get Directions Write a Review

NPPES record last updated: July 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About May Creek NPPES

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

MAY CREEK (NPI 1053794362) is a healthcare organization registered as an assisted living facility in Walker, Minnesota and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Rex Carlson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053794362
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDGEWOOD MAY CREEK LLC
Location Address303 10TH STREET SOUTHWalker, MN 56484
Mailing Address303 10th St SouthWalker, MN 56484-4754 · (701) 757-5465
Phone(701) 757-5465
Organization SubpartNo
Authorized OfficialRex CarlsonCfo · (701) 757-5465
Enumeration DateJuly 6, 2015
✔ NPI 1053794362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
303 10TH STREET SOUTH, Walker, MN 56484
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Other Names 1

Doing Business AsMay Creek

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 24D1062276

Edgewood May Creek LLC · Walker, MN
Active · expires Dec 10, 2026
CLIA Number24D1062276
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorDenise H. Novak
Laboratory Phone(218) 547-4515
Laboratory LocationEdgewood May Creek LLC303 10th Street South, Walker, MN 56484
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

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

MAY CREEK LODGE INC.
Assisted Living Facility
303 10TH STREET SOUTH
WALKER, MN 56484
Cass County (218) 547-4515

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 Edgewood May Creek LLC's NPI number?

The NPI number for Edgewood May Creek LLC is 1053794362. It was assigned to this organization in the NPPES registry on July 6, 2015. The provider is doing business as May Creek.

Where is Edgewood May Creek LLC located?

Edgewood May Creek LLC is located at 303 10th Street South, Walker, MN 56484. The listed phone number is (701) 757-5465.

What is Edgewood May Creek LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Edgewood May Creek LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1062276) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edgewood May Creek LLC was last updated on July 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.