EDGEWOOD SARTELL LLC
NPI 1093253346
Assisted Living Facility in Grand Forks, ND

Active since February 07, 2017CLIA Certified · 2 labs
322 DEMERS AVE, SUITE 500, GRAND FORKS, ND 58201(701) 757-5412 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Edgewood Sartell Llc NPPES

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

EDGEWOOD SARTELL LLC (NPI 1093253346) is a healthcare organization registered as an assisted living facility in Grand Forks, North Dakota and active in the NPI registry since February 2017. The organization holds 2 active CLIA laboratory certificates and lists Rex Carlson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093253346
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDGEWOOD SARTELL LLC
Location Address322 DEMERS AVE, SUITE 500Grand Forks, ND 58201-4754
Mailing Address677 Brianna DrSartell, MN 56377-4752
Organization SubpartNo
Authorized OfficialRex CarlsonCfo · (701) 757-5412
Enumeration DateFebruary 7, 2017
NPI 1093253346 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.
322 DEMERS AVE, Grand Forks, ND 58201

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 24D2109842

Edgewood Sartell · Sartell, MN
Active · expires Mar 2, 2028
CLIA Number24D2109842
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorAshely Kalthoff
Laboratory Phone(320) 281-3343
Laboratory LocationEdgewood Sartell677 Brianna Drive, Sartell, MN 56377
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D1095326

Edgewood Sartell · Sartell, MN
Active · expires Feb 5, 2027
CLIA Number24D1095326
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorAshely Kalthoff
Laboratory Phone(320) 281-3343
Laboratory LocationEdgewood Sartell673 Brianna Drive, Sartell, MN 56377
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Home Health
322 DEMERS AVE, SUITE 500
GRAND FORKS, ND 58201
Assisted Living Facility
322 DEMERS AVE, SUITE 500
GRAND FORKS, ND 58201

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 Sartell LLC's NPI number?

The NPI number for Edgewood Sartell LLC is 1093253346. It was assigned to this organization in the NPPES registry on February 7, 2017.

Where is Edgewood Sartell LLC located?

Edgewood Sartell LLC is located at 322 Demers Ave Suite 500, Grand Forks, ND 58201. The listed phone number is (701) 757-5412.

What is Edgewood Sartell LLC's specialty?

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

Does Edgewood Sartell LLC 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 Sartell LLC was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.