WILLOW CREEK
NPI 1548227358
Assisted Living Facility in Henning, MN

Active since April 26, 2006CLIA 24D1040148 · Waiver
500 WILLOW CREEK DR, HENNING, MN 56551(952) 888-2923 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willow Creek NPPES

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

WILLOW CREEK (NPI 1548227358) is a healthcare organization registered as an assisted living facility in Henning, Minnesota and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through May 1, 2027 and lists Howie Groff, President, as its authorized official.

NPPES Registry Identity

NPI1548227358
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHENNING ECONOMIC DEVELOPMENT AUTHORITY
Location Address500 WILLOW CREEK DRHenning, MN 56551-4224
Mailing Address500 Willow Creek DrHenning, MN 56551-4224
Organization SubpartNo
Authorized OfficialHowie GroffPresident · (952) 888-2923
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 2, 2008
NPI 1548227358 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 MN · 329900
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.
500 WILLOW CREEK DR, Henning, MN 56551

Other Names 1

Doing Business AsWillow Creek

Other Identifiers 3

Other329596MN · Hws
Other329900MN · Alhcp
Medicaid807035100MN

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 24D1040148

Willow Creek Senior Community · Henning, MN
Active · expires May 1, 2027
CLIA Number24D1040148
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorTimothy R. Kelly
Laboratory Phone(218) 338-1001
Laboratory LocationWillow Creek Senior Community500 Willow Creek Drive, Henning, MN 56551
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Assisted Living Facility
500 WILLOW CREEK DR
HENNING, MN 56551

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 Henning Economic Development Authority's NPI number?

The NPI number for Henning Economic Development Authority is 1548227358. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider is doing business as Willow Creek.

Where is Henning Economic Development Authority located?

Henning Economic Development Authority is located at 500 Willow Creek Dr, Henning, MN 56551. The listed phone number is (952) 888-2923.

What is Henning Economic Development Authority's specialty?

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

Does Henning Economic Development Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1040148) is associated with this NPI, valid through May 1, 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 Henning Economic Development Authority was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.