WEDGEWOOD MANOR
NPI 1356487565
Skilled Nursing Facility in Cavalier, ND

Active since January 29, 2007CLIA 35D0708806 · Waiver
3/5
Overall Rating
804 MAIN ST W, CAVALIER, ND 58220(701) 265-8453 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wedgewood Manor NPPES

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

WEDGEWOOD MANOR (NPI 1356487565) is a healthcare organization registered as a skilled nursing facility in Cavalier, North Dakota and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lisa Letexier, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356487565
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION
Location Address804 MAIN ST WCavalier, ND 58220-4646
Mailing AddressPo Box 380Cavalier, ND 58220-0380
Organization SubpartNo
Authorized OfficialLisa LetexierCeo · (701) 265-6228
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
NPI 1356487565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in ND · 1011B
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
804 MAIN ST W, Cavalier, ND 58220

Other Names 1

Doing Business AsWedgewood Manor

Other Identifiers 1

MedicaidMEDICAID IDND

Accepted Insurance

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 35D0708806

Wedgewood Manor · Cavalier, ND
Active · expires Aug 31, 2026
CLIA Number35D0708806
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPatti Johnson
Laboratory Phone(701) 265-6248
Laboratory LocationWedgewood Manor804 Main St W, Cavalier, ND 58220
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Wedgewood Manor (CMS certification number 355087), from CMS Care Compare.

Wedgewood Manor

Nursing home · Cavalier, ND
3/5 CMS Overall Rating
OwnershipNon profit - Other
CMS Certification Number355087
Certified Beds40 beds35 residents per day on average
Medicare & Medicaid Participant SinceMarch 6, 1980
Resident & Family CouncilResident council
Hospital-based Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
20
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Pembina County Memorial Hospital Association's NPI number?

The NPI number for Pembina County Memorial Hospital Association is 1356487565. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Wedgewood Manor.

Where is Pembina County Memorial Hospital Association located?

Pembina County Memorial Hospital Association is located at 804 Main St W, Cavalier, ND 58220. The listed phone number is (701) 265-8453.

What is Pembina County Memorial Hospital Association's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Pembina County Memorial Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D0708806) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Pembina County Memorial Hospital Association a Medicare-certified nursing home?

Yes. Wedgewood Manor is a Medicare-certified nursing home with 40 certified beds.

What quality rating does Pembina County Memorial Hospital Association have?

CMS rates Wedgewood Manor 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Pembina County Memorial Hospital Association accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Pembina County Memorial Hospital Association as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pembina County Memorial Hospital Association was last updated on July 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.