CLEARWATER SUITES
NPI 1780910117
Assisted Living Facility in Alexandria, MN

Active since October 20, 2009CLIA 24D1016158 · Waiver
1902 7TH AVE E, ALEXANDRIA, MN 56308(320) 759-2121 Get Directions Write a Review

NPPES record last updated: October 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clearwater Suites NPPES

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

CLEARWATER SUITES (NPI 1780910117) is a healthcare organization registered as an assisted living facility in Alexandria, Minnesota and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Philip Gisi, President/treasurer, as its authorized official.

NPPES Registry Identity

NPI1780910117
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDGEWOOD ALEXANDRIA SENIOR LIVING LLC
Location Address1902 7TH AVE EAlexandria, MN 56308-2364
Mailing Address2850 24th Ave S, Suite 200Grand Forks, ND 58201-5831 · (701) 738-2000 · Fax (701) 738-2001
Organization SubpartNo
Authorized OfficialPhilip GisiPresident/treasurer · (701) 757-4700
Enumeration DateOctober 20, 2009
NPI 1780910117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
1902 7TH AVE E, Alexandria, MN 56308

Other Names 1

Doing Business AsClearwater Suites

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 24D1016158

Edgewood Alexandria Senior Living, LLC · Alexandria, MN
Active · expires Aug 20, 2027
CLIA Number24D1016158
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorKayla Walsh
Laboratory Phone(320) 759-2121
Laboratory LocationEdgewood Alexandria Senior Living, LLC1902 7th Avenue East, Alexandria, MN 56308
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

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

Assisted Living Facility
1902 7TH AVE E
ALEXANDRIA, MN 56308

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 Alexandria Senior Living LLC's NPI number?

The NPI number for Edgewood Alexandria Senior Living LLC is 1780910117. It was assigned to this organization in the NPPES registry on October 20, 2009. The provider is doing business as Clearwater Suites.

Where is Edgewood Alexandria Senior Living LLC located?

Edgewood Alexandria Senior Living LLC is located at 1902 7th Ave E, Alexandria, MN 56308. The listed phone number is (320) 759-2121.

What is Edgewood Alexandria Senior Living LLC's specialty?

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

Does Edgewood Alexandria Senior Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1016158) is associated with this NPI, valid through August 20, 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 Alexandria Senior Living LLC was last updated on October 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.