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EDGEWOOD GREEN LEAF FLANDREAU
NPI 1720376114
Assisted Living Facility in Flandreau, SD

Active since July 19, 2011CLIA 43D0988587 · Waiver
800 S WIND ST, FLANDREAU, SD 57028(605) 997-2775(605) 997-3859 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgewood Green Leaf Flandreau NPPES

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

EDGEWOOD GREEN LEAF FLANDREAU (NPI 1720376114) is a healthcare organization registered as an assisted living facility in Flandreau, South Dakota and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Ron Whetter, Vp Of Budget/finance, as its authorized official.

NPPES Registry Identity

NPI1720376114
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDGEWOOD GREEN LEAF FLANDREAU
Location Address800 S WIND STFlandreau, SD 57028-1301
Mailing Address800 S Wind StFlandreau, SD 57028-1301 · (605) 997-2775 · Fax (605) 997-3859
Phone(605) 997-2775
Fax(605) 997-3859
Organization SubpartNo
Authorized OfficialRon WhetterVp Of Budget/finance · (701) 738-2000
Enumeration DateJuly 19, 2011
✔ NPI 1720376114 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 · 46723
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.
800 S WIND ST, Flandreau, SD 57028
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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 43D0988587

Edgewood Greenleaf Flandreau LLC · Flandreau, SD
Active · expires Jul 1, 2027
CLIA Number43D0988587
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorAnne Lafferty
Laboratory Phone(605) 997-2775
Laboratory LocationEdgewood Greenleaf Flandreau LLC800 S Wind Street, Flandreau, SD 57028
CLIA data matches this NPI record on: Address Phone
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.

GREENLEAF ASSISTED LIVING, INC.
Assisted Living Facility
800 S WIND ST
FLANDREAU, SD 57028
Moody County (605) 997-2775

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 Green Leaf Flandreau's NPI number?

The NPI number for Edgewood Green Leaf Flandreau is 1720376114. It was assigned to this organization in the NPPES registry on July 19, 2011.

Where is Edgewood Green Leaf Flandreau located?

Edgewood Green Leaf Flandreau is located at 800 S Wind St, Flandreau, SD 57028. The listed phone number is (605) 997-2775.

What is Edgewood Green Leaf Flandreau's specialty?

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

Does Edgewood Green Leaf Flandreau hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D0988587) is associated with this NPI, valid through July 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 Edgewood Green Leaf Flandreau was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.