EDGEWOOD THE COMMONS
NPI 1083089825
Assisted Living Facility in Watertown, SD
- Organization
- Assisted Living Facility
- CLIA Number: 43D2110844
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 03-23-2028
About EDGEWOOD THE COMMONS
This page provides the complete NPI Profile along with additional information for Edgewood The Commons, a provider established in Watertown, South Dakota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1083089825 assigned on December 2015. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Edgewood The Commons. The authorized official of this NPI record is Rex Carlson (Treasurer)
- NPI
- 1083089825 Verify this NPI
- Provider Legal Name
- EDGEWOOD PRAIRIE CROSSINGS WATERTOWN IL LLC
- Other Organization Name
- EDGEWOOD THE COMMONS
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 901 14TH AVE NE WATERTOWN, SD 57201
- Location Phone
- (605) 882-3084
- Mailing Address
- 322 DEMERS AVE STE 500 GRAND FORKS, ND 58201
- Mailing Phone
- (701) 757-5410
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-04-2015
- Last Update Date
- 12-04-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 43D2110844
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- March 24, 2026
- Certificate Expiration Date
- March 23, 2028
- Laboratory Director
- CARRIE KWASNIEWSKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Edgewood The Commons to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083089825, enumerated as an "organization" on December 04, 2015.
The provider is located at 901 14TH AVE NE WATERTOWN, SD 57201 and the phone number is (605) 882-3084.
Assisted Living Facility with taxonomy code 310400000X.
