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EDGEWOOD NORFOLK SENIOR LIVING
NPI 1831488287
Alzheimer Center (Dementia Center) in Norfolk, NE

Active since April 06, 2011CLIA 28D1059766 · Waiver
1109 PASEWALK AVE., NORFOLK, NE 68701(402) 371-0052(402) 371-0053 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgewood Norfolk Senior Living NPPES

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

EDGEWOOD NORFOLK SENIOR LIVING (NPI 1831488287) is a healthcare organization registered as an alzheimer center (dementia center) in Norfolk, Nebraska and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists Rex Carlson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1831488287
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameEDGEWOOD NORFOLK SENIOR LIVING
Location Address1109 PASEWALK AVE.Norfolk, NE 68701-4916
Mailing Address1109 Pasewalk Ave.Norfolk, NE 68701-4916 · (402) 371-0052 · Fax (402) 371-0053
Phone(402) 371-0052
Fax(402) 371-0053
Organization SubpartNo
Authorized OfficialRex CarlsonChief Financial Officer · (701) 738-2000
Enumeration DateApril 6, 2011
✔ NPI 1831488287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
License✔ Licensed in NE · 28D1059766
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
1109 PASEWALK AVE., Norfolk, NE 68701
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Other Identifiers 1

Medicaid10025292600NE

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 28D1059766

Edgewood Norfolk Senior Living, LLC · Norfolk, NE
Active · expires Oct 4, 2026
CLIA Number28D1059766
Laboratory TypeOther
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorMs. Carol Wurdeman
Laboratory Phone(402) 371-0052
Laboratory LocationEdgewood Norfolk Senior Living, LLC1109 Pasewalk Avenue, Norfolk, NE 68701
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 Norfolk Senior Living's NPI number?

The NPI number for Edgewood Norfolk Senior Living is 1831488287. It was assigned to this organization in the NPPES registry on April 6, 2011.

Where is Edgewood Norfolk Senior Living located?

Edgewood Norfolk Senior Living is located at 1109 Pasewalk Ave., Norfolk, NE 68701. The listed phone number is (402) 371-0052.

What is Edgewood Norfolk Senior Living's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does Edgewood Norfolk Senior Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1059766) is associated with this NPI, valid through October 4, 2026. 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 Norfolk Senior Living was last updated on April 6, 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.