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EDGEWOOD GREENLEAF BROOKINGS LLC
NPI 1457649840
Assisted Living Facility in Brookings, SD

Active since July 19, 2011CLIA 43D0988079 · Waiver
2015 8TH ST. S., BROOKINGS, SD 57006(605) 692-6311(605) 692-1979 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edgewood Greenleaf Brookings Llc NPPES

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

EDGEWOOD GREENLEAF BROOKINGS LLC (NPI 1457649840) is a healthcare organization registered as an assisted living facility in Brookings, South Dakota and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through June 18, 2027 and lists Ron Whetter, Vp Of Budget/finance, as its authorized official.

NPPES Registry Identity

NPI1457649840
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDGEWOOD GREENLEAF BROOKINGS LLC
Location Address2015 8TH ST. S.Brookings, SD 57006-3506
Mailing Address2015 8th St. S.Brookings, SD 57006-3506 · (605) 692-6311 · Fax (605) 692-1979
Phone(605) 692-6311
Fax(605) 692-1979
Organization SubpartNo
Authorized OfficialRon WhetterVp Of Budget/finance · (701) 738-2000
Enumeration DateJuly 19, 2011
✔ NPI 1457649840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in SD · 11055
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.

2015 8TH ST. S., Brookings, SD 57006
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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 43D0988079

Edgewood Greenleaf Brookings LLC · Brookings, SD
Active · expires Jun 18, 2027
CLIA Number43D0988079
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorCheryl Hennen
Laboratory Phone(605) 692-6311
Laboratory LocationEdgewood Greenleaf Brookings LLC2015 8th Street South, Brookings, SD 57006
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 Greenleaf Brookings LLC's NPI number?

The NPI number for Edgewood Greenleaf Brookings LLC is 1457649840. It was assigned to this organization in the NPPES registry on July 19, 2011.

Where is Edgewood Greenleaf Brookings LLC located?

Edgewood Greenleaf Brookings LLC is located at 2015 8th St. S., Brookings, SD 57006. The listed phone number is (605) 692-6311.

What is Edgewood Greenleaf Brookings LLC's specialty?

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

Does Edgewood Greenleaf Brookings LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D0988079) is associated with this NPI, valid through June 18, 2027. 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 Greenleaf Brookings LLC was last updated on July 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.