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EDGEWOOD BAXTER LLC
NPI 1881141828
Assisted Living Facility in Baxter, MN

Active since September 07, 2016CLIA 24D2123594 · Waiver
14211 FIREWOOD DR, BAXTER, MN 56425(701) 757-5465 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edgewood Baxter Llc NPPES

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

EDGEWOOD BAXTER LLC (NPI 1881141828) is a healthcare organization registered as an assisted living facility in Baxter, Minnesota and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Rex Carlson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881141828
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDGEWOOD BAXTER LLC
Location Address14211 FIREWOOD DRBaxter, MN 56425-8567
Mailing AddressPo Box 13238Grand Forks, ND 58208-3238
Phone(701) 757-5465
Organization SubpartNo
Authorized OfficialRex CarlsonCfo · (701) 757-5465
Enumeration DateSeptember 7, 2016
✔ NPI 1881141828 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.
14211 FIREWOOD DR, Baxter, MN 56425
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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 24D2123594

Edgewood Baxter LLC · Baxter, MN
Active · expires Dec 26, 2026
CLIA Number24D2123594
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorCourtney Milbradt
Laboratory Phone(218) 828-4770
Laboratory LocationEdgewood Baxter LLC14211 Firewood Drive, Baxter, MN 56425
CLIA data matches this NPI record on: Address Name
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 Baxter LLC's NPI number?

The NPI number for Edgewood Baxter LLC is 1881141828. It was assigned to this organization in the NPPES registry on September 7, 2016.

Where is Edgewood Baxter LLC located?

Edgewood Baxter LLC is located at 14211 Firewood Dr, Baxter, MN 56425. The listed phone number is (701) 757-5465.

What is Edgewood Baxter LLC's specialty?

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

Does Edgewood Baxter LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2123594) is associated with this NPI, valid through December 26, 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 Baxter LLC was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.