EDGEWOOD SARTELL LLC (NPI# 1093253346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093253346 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD SARTELL LLC |
| Practice Address |
322 Demers Ave Suite 500 Grand Forks ND 58201-4754 |
| Mailing Address |
677 Brianna Dr Sartell MN 56377-4752 |
| Practice Telephone | 7017575412 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Authorized Official Name | REX CARLSON (CFO) |
| Authorized Official Telephone | 7017575412 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
322 DEMERS AVE SUITE 500 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891241139 | Edgewood Jamestown,llc | Assisted Living Facility | 322 Demers Ave, Suite 500, Grand Forks, ND 58201-4754 | 2016-08-28 |
| 1386178994 | Edgewood Management Group | Hospice Care, Community Based | 322 Demers Ave, Suite 500, Grand Forks, ND 58201-4754 | 2017-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| 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 |
|---|---|---|---|---|
| 1083239776 | Altru Health System | Assisted Living Facility | 4004 24th Ave S, Grand Forks, ND 58201-8863 | 2020-06-09 |
| 1891241139 | Edgewood Jamestown,llc | Assisted Living Facility | 322 Demers Ave, Suite 500, Grand Forks, ND 58201-4754 | 2016-08-28 |
| 1326481722 | Parkwood Senior Living | Assisted Living Facility | 749 S 30th St, Grand Forks, ND 58201-4084 | 2013-04-16 |
| 1881762565 | Valley Homes and Services | Assisted Living Facility | 2900 14th Ave S, Grand Forks, ND 58201-4042 | 2006-12-01 |
| 1104441518 | Altru Health System | Assisted Living Facility | 3300 Cherry St, Grand Forks, ND 58201-7634 | 2020-06-11 |
| 1063037505 | Altru Health System | Assisted Living Facility | 749 S 30th St, Grand Forks, ND 58201-4084 | 2020-06-10 |
| 1639549298 | Edgewood Parkwood Place,llc | Assisted Living Facility | 749 S 30th St, Grand Forks, ND 58201-4084 | 2015-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072294 | Wp-arc Minot Holdings, LLC | Assisted Living Facility | 601 24th Ave Sw, Minot, ND 58701-7099 | 2020-11-01 |
| 1285231407 | Unsong Ringuette | Assisted Living Facility | 1608 16th St Nw, Minot, ND 58703-1114 | 2020-10-01 |
| 1295342822 | Park View Manor LLC | Assisted Living Facility | 618 8th Ave Ne, Rolla, ND 58367-7345 | 2020-09-28 |
| 1437621885 | Edgewood Minot Senior Living, LLC | Assisted Living Facility | 520 28th Ave, Minot, ND 58208 | 2018-12-26 |
| 1013386788 | Ecumen | Assisted Living Facility | 1405 W Gateway Cir S, Fargo, ND 58103-3529 | 2015-09-23 |
| 1306243647 | Edgewood Mandan, LLC | Assisted Living Facility | 2801 39th Ave Se, Mandan, ND 58554-6430 | 2014-12-02 |
| 1225437460 | New Town Health Support Corporation | Assisted Living Facility | 603 1st Street Nw, New Town, ND 58763 | 2014-08-13 |
| 1639501141 | Lakewood Landing, Inc. | Assisted Living Facility | 4401 21st St Se, Mandan, ND 58554 | 2013-08-07 |
| 1619148467 | Edgewood Fargo Senior Living, LLC | Assisted Living Facility | 4420 37th Ave S, Fargo, ND 58104-3400 | 2008-03-20 |
| 1770783169 | Burleigh County Housing Authority | Assisted Living Facility | 901 E Bowen Ave, Bismarck, ND 58504-5686 | 2007-07-23 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.