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EDGEWOOD FREMONT SENIOR LIVING
NPI 1093004442
Alzheimer Center (Dementia Center) in Fremont, NE

Active since April 06, 2011CLIA Certified · 2 labs
2910 N. CLARKSON ST., FREMONT, NE 68025(402) 753-8800(402) 753-8801 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Edgewood Fremont Senior Living NPPES

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

EDGEWOOD FREMONT SENIOR LIVING (NPI 1093004442) is a healthcare organization registered as an alzheimer center (dementia center) in Fremont, Nebraska and active in the NPI registry since April 2011. The organization holds 2 active CLIA laboratory certificates and lists Rex Carlson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1093004442
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameEDGEWOOD FREMONT SENIOR LIVING
Location Address2910 N. CLARKSON ST.Fremont, NE 68025-2399
Mailing Address2910 N. Clarkson St.Fremont, NE 68025-2399 · (402) 753-8800 · Fax (402) 753-8801
Phone(402) 753-8800
Fax(402) 753-8801
Organization SubpartNo
Authorized OfficialRex CarlsonChief Financial Officer · (701) 738-2000
Enumeration DateApril 6, 2011
✔ NPI 1093004442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
License✔ Licensed in NE · 28D1060054
Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

2910 N. CLARKSON ST., Fremont, NE 68025
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CLIA Laboratory Certificates CMS CLIA 2

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 28D1060054

Edgewood Fremont Senior Living, LLC · Fremont, NE
Active · expires Oct 12, 2026
CLIA Number28D1060054
Laboratory TypeOther
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateOctober 12, 2026
Laboratory DirectorCarol Wurdeman
Laboratory Phone(402) 753-8800
Laboratory LocationEdgewood Fremont Senior Living, LLC2910 Clarkson Street, Fremont, NE 68025
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 27D2138084

Edgewood Helena Senior Living LLC · Helena, MT
Active · expires Oct 9, 2027
CLIA Number27D2138084
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorLaurie Hatleberg
Laboratory Phone(701) 738-2000
Laboratory LocationEdgewood Helena Senior Living LLC3207 Colonial Drive, Helena, MT 59601
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fremont Senior Living's NPI number?

The NPI number for Edgewood Fremont Senior Living is 1093004442. It was assigned to this organization in the NPPES registry on April 6, 2011.

Where is Edgewood Fremont Senior Living located?

Edgewood Fremont Senior Living is located at 2910 N. Clarkson St., Fremont, NE 68025. The listed phone number is (402) 753-8800.

What is Edgewood Fremont Senior Living's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does Edgewood Fremont Senior Living hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Edgewood Fremont Senior Living was last updated on April 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.