EDGEWOOD MAY CREEK LLC (NPI# 1427432996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427432996 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD MAY CREEK LLC |
| Other Organization Name | MAY CREEK |
| Practice Address |
299 10th St South Walker MN 56484-4754 |
| Practice Telephone | 7017575465 |
| Mailing Telephone | 7017575465 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MR. REX CARLSON (CFO) |
| Authorized Official Telephone | 7017575465 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| May Creek | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972988509 | Edgewood May Creek LLC | Alzheimer Center (Dementia Center) | 301 10th St South, Walker, MN 56484-4754 | 2015-07-24 |
| 1053794362 | Edgewood May Creek LLC | Assisted Living Facility | 303 10th Street South, Walker, MN 56484 | 2015-07-06 |
| Street Address |
299 10TH ST SOUTH |
| City | WALKER |
| State | MN |
| Zip Code | 56484-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058259 | Janna Wiele | Social Worker | 301 4th St S, Walker, MN 56484 | 2020-06-25 |
| 1649831264 | Alyssa Sharon Robley | Physical Therapist | 106 Fifth St S, Walker, MN 56484 | 2019-06-25 |
| 1447733639 | Walker Adult Day Services | Clinic/Center | 6835 Cranberry Bog Trl Nw, Walker, MN 56484 | 2018-09-13 |
| 1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
| 1699178707 | David Farder | Physical Therapist | 106 5th St S, Walker, MN 56484 | 2014-10-02 |
| 1083053292 | Gary F Wehrwein | Pharmacist | 1523 Suzanne Drive Ne, Longville, MN 56484 | 2013-06-20 |
| 1306141882 | First Choice Therapy | Clinic/Center | 6068 E Ottertail Rd Nw, Walker, MN 56484 | 2011-01-14 |
| 1033421029 | Walker Wellness Chiropractic Center, Pa | Chiropractor | 215 Garden Street, Walker, MN 56484 | 2010-07-08 |
| 1538343496 | Walker Wellness Chiropractic | Chiropractor | 507 Front Street West, Walker, MN 56484 | 2007-12-27 |
| 1629263827 | Shingobee Island Lodge Incorporated | Community Based Residential Treatment Facility, Mental Illness | 7185 Dewdrop Trail Nw, Walker, MN 56484 | 2007-09-11 |
| Find all providers in zip 56484 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851518294 | Baruch Sls, Inc. | Assisted Living Facility | 3511 Leonard St Nw, Walker, MI 49534-3619 | 2007-04-19 |
| 1598980146 | Baruch Sls, Inc. | Assisted Living Facility | 3515 Leonard St Nw, Walker, MI 49534-3619 | 2007-04-16 |
| 1154454528 | May Creek Lodge Inc. | Assisted Living Facility | 303 10th Street South, Walker, MN 56484-0530 | 2007-03-14 |
| 1053794362 | Edgewood May Creek LLC | Assisted Living Facility | 303 10th Street South, Walker, MN 56484 | 2015-07-06 |
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| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.