HENNING ECONOMIC DEVELOPMENT AUTHORITY NPI 1548227358

NPI Information

NPI: 1548227358
Provider Name: HENNING ECONOMIC DEVELOPMENT AUTHORITY
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Doing Business As: WILLOW CREEK
CLIA Number: 24D1040148
Address: 500 WILLOW CREEK DR
HENNING, MN
ZIP 56551
Phone: (952) 888-2923

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NPI Details

HENNING ECONOMIC DEVELOPMENT AUTHORITY is an assisted living facility in Henning, MN. The provider is 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. HENNING ECONOMIC DEVELOPMENT AUTHORITY NPI is 1548227358. The provider is registered as an organization entity type.
The provider Is Doing Business As Willow Creek.

The provider's business location address is:

500 WILLOW CREEK DR
HENNING, MN
ZIP 56551-224
Phone: (952) 888-2923

The provider's authorized official is Howie Groff .
The authorized official title is President and has the following contact phone number (952) 888-2923.

The CLIA number assigned to this NPI record is 24D1040148 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 7/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		329900	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	329596	OTHER	MINNESOTA	HWS
2	329900	OTHER	MINNESOTA	ALHCP
3	807035100	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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