EDGEWOOD PIERRE LLC
NPI 1730554577
Assisted Living Facility in Pierre, SD

Active since December 04, 2015CLIA 43D2093084 · Waiver
1950 E 4TH ST, PIERRE, SD 57501(605) 494-3400 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edgewood Pierre Llc NPPES

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

EDGEWOOD PIERRE LLC (NPI 1730554577) is a healthcare organization registered as an assisted living facility in Pierre, South Dakota and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Rex Carlson, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1730554577
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDGEWOOD PIERRE LLC
Location Address1950 E 4TH STPierre, SD 57501-4201
Mailing Address322 Demers Ave Ste 500Grand Forks, ND 58201-4799 · (701) 757-5410
Organization SubpartNo
Authorized OfficialRex CarlsonTreasurer · (701) 757-5463
Enumeration DateDecember 4, 2015
NPI 1730554577 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 · 66437
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.

1950 E 4TH ST, Pierre, SD 57501

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 43D2093084

Edgewood Pierre LLC · Pierre, SD
Active · expires Mar 19, 2027
CLIA Number43D2093084
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorCourtney Volker
Laboratory Phone(605) 494-3400
Laboratory LocationEdgewood Pierre LLC1950 East 4th Street, Pierre, SD 57501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Occupational Therapist
1950 E 4TH ST
PIERRE, SD 57501
Physical Therapist
1950 E 4TH ST
PIERRE, SD 57501
Physical Therapist
1950 E 4TH ST
PIERRE, SD 57501

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 Pierre LLC's NPI number?

The NPI number for Edgewood Pierre LLC is 1730554577. It was assigned to this organization in the NPPES registry on December 4, 2015.

Where is Edgewood Pierre LLC located?

Edgewood Pierre LLC is located at 1950 E 4th St, Pierre, SD 57501. The listed phone number is (605) 494-3400.

What is Edgewood Pierre LLC's specialty?

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

Does Edgewood Pierre LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D2093084) is associated with this NPI, valid through March 19, 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 Pierre LLC was last updated on December 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.