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EDGEWOOD GRAND ISLAND SENIOR LIVING
NPI 1285923631
Alzheimer Center (Dementia Center) in Grand Island, NE

Active since April 06, 2011CLIA 28D1060632 · Waiver
214 N. PIPER, GRAND ISLAND, NE 68803(308) 384-0717(308) 384-0728 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edgewood Grand Island Senior Living NPPES

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

EDGEWOOD GRAND ISLAND SENIOR LIVING (NPI 1285923631) is a healthcare organization registered as an alzheimer center (dementia center) in Grand Island, Nebraska and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through October 26, 2026 and lists Rex Carlson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1285923631
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameEDGEWOOD GRAND ISLAND SENIOR LIVING
Location Address214 N. PIPERGrand Island, NE 68803-4027
Mailing Address214 N. PiperGrand Island, NE 68803-4027 · (308) 384-0717 · Fax (308) 384-0728
Phone(308) 384-0717
Fax(308) 384-0728
Organization SubpartNo
Authorized OfficialRex CarlsonChief Financial Officer · (701) 738-2000
Enumeration DateApril 6, 2011
✔ NPI 1285923631 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 · 28D1060632
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.

214 N. PIPER, Grand Island, NE 68803
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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 28D1060632

Edgewood Grand Island Senior Living · Grand Island, NE
Active · expires Oct 26, 2026
CLIA Number28D1060632
Laboratory TypeOther
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorMs. Janci Jelinek
Laboratory Phone(308) 384-0717
Laboratory LocationEdgewood Grand Island Senior Living214 North Piper, Grand Island, NE 68803
CLIA data matches this NPI record on: Address Name 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 Grand Island Senior Living's NPI number?

The NPI number for Edgewood Grand Island Senior Living is 1285923631. It was assigned to this organization in the NPPES registry on April 6, 2011.

Where is Edgewood Grand Island Senior Living located?

Edgewood Grand Island Senior Living is located at 214 N. Piper, Grand Island, NE 68803. The listed phone number is (308) 384-0717.

What is Edgewood Grand Island Senior Living's specialty?

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

Does Edgewood Grand Island Senior Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1060632) is associated with this NPI, valid through October 26, 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 Grand Island Senior Living was last updated on April 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.