EDGEWOOD VISTA SENIOR LIVING INC (NPI# 1548313992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548313992 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD VISTA SENIOR LIVING INC |
| Practice Address |
540 Falcon Crest Dr Spearfish SD 57783-3255 |
| Mailing Address |
Po Box 13336 2450 24th Ave S Suite 201 Grand Forks ND 58208-3336 |
| Practice Telephone | 6056422977 |
| Mailing Telephone | 7017382000 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANN M WAGNER (ACCOUNTS RECEIVABLE CLERK) |
| Authorized Official Telephone | 7017382000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 310400000X | Assisted Living Facility | 49736 | SD | Nursing & Custodial Care Facilities |
| X | 310400000X | Assisted Living Facility | 11073 | SD | Nursing & Custodial Care Facilities |
| X | 311500000X | Alzheimer Center (Dementia Center) | 49736 | SD | Nursing & Custodial Care Facilities |
| X | 311500000X | Alzheimer Center (Dementia Center) | 11073 | SD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9570693 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700930567 | Edgewood Vista Senior Living Inc | Assisted Living Facility | 800 16th Ave Se, Minot, ND 58701-6781 | 2007-01-22 |
| 1932252376 | Edgewood Vista Senior Living Inc | Assisted Living Facility | 3406 Dominion St, Bismarck, ND 58503-5577 | 2007-01-19 |
| Street Address |
540 FALCON CREST DR |
| City | SPEARFISH |
| State | SD |
| Zip Code | 57783-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417425448 | Megan Marie Strain | Occupational Therapist | 540 Falcon Crest Dr, Spearfish, SD 57783-3252 | 2018-11-07 |
| 1184109464 | Caringedge Healthcare of Spearfish | Home Health | 540 Falcon Crest Dr, Spearfish, SD 57783-3252 | 2018-10-02 |
| 1992280275 | Caringedge Hospice of Spearfish | Hospice Care, Community Based | 540 Falcon Crest Dr, Spearfish, SD 57783-3252 | 2018-10-02 |
| 1851569347 | Heidi Marie Williams I | Occupational Therapy Assistant | 540 Falcon Crest Dr, Spearfish, SD 57783-3252 | 2008-02-18 |
| 1922284033 | Edgewood Spearfish Senior Living LLC | Assisted Living Facility | 540 Falcon Crest Dr, Spearfish, SD 57783-3255 | 2008-01-18 |
| 1942486584 | Edgewood Spearfish Senior Living LLC | Assisted Living Facility | 540 Falcon Crest Dr, Spearfish, SD 57783-3255 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091338 | Acupuncture of The Black Hills, LLC | Acupuncturist | 144 N. Main St., Spearfish, SD 57783 | 2016-05-19 |
| 1568695013 | Krew Enterprises, Inc Bda Comfort Keepers, 490 | Home Health | 119 East Grant Street, Ste 1, Spearfish, SD 57783 | 2009-09-01 |
| 1518193093 | Lorri A. Riley, Dpm PC | Podiatrist | 1410 North Ave #1, Spearfish, SD 57783 | 2009-06-10 |
| 1104065317 | Heather Rae Glasford | Speech-Language Pathologist | 1107 Charles Street, Spearfish, SD 57783 | 2009-02-11 |
| 1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
| 1467670976 | Karin Wood | Counselor | 146 W. Illinois St., Ste A, Spearfish, SD 57783 | 2007-04-22 |
| 1205999315 | Black Hills Counseling Services | Counselor | 146 W Illinois Street, Suite A, Spearfish, SD 57783 | 2006-12-19 |
| 1154489920 | Brooke Melody Hvachovec Thompson | Occupational Therapist | Spearfish Regional Hospital, 1440 N Main Street, Spearfish, SD 57783 | 2006-12-05 |
| 1780758060 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 428 E Colorado Blvd, Spearfish, SD 57783 | 2006-11-20 |
| 1063584423 | Regional Health Physicians Inc | Durable Medical Equipment & Medical Supplies | 1420 N. 10th Street, Spearfish, SD 57783 | 2006-11-14 |
| Find all providers in zip 57783 | ||||
| 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 |
|---|---|---|---|---|
| 1326366709 | Tender Care Assisted Living | Assisted Living Facility | 209 Evans Ln, Spearfish, SD 57783-1130 | 2010-05-11 |
| 1881851418 | Garden Hills Assisted Living | Assisted Living Facility | 905 S 34th St, Spearfish, SD 57783-9449 | 2008-05-21 |
| 1326252842 | Alpine Properties, Ll.c. | Assisted Living Facility | 19566 Old Belle Rd, Spearfish, SD 57783-4101 | 2007-05-10 |
| 1639296478 | Smal Corp. | Assisted Living Facility | 2010 Windmill Dr, Spearfish, SD 57783-9475 | 2007-03-26 |
| 1760920946 | Sandstone Senior Living, Inc | Assisted Living Facility | 2010 Windmill Dr, Spearfish, SD 57783-9475 | 2017-02-07 |
| 1821334954 | Seco LLC | Assisted Living Facility | 19566 Old Belle Rd, Spearfish, SD 57783-4101 | 2012-12-18 |
| 1114204096 | Derosier Inc | Assisted Living Facility | 905 S 34th St, Spearfish, SD 57783-9449 | 2011-11-07 |
| 1922284033 | Edgewood Spearfish Senior Living LLC | Assisted Living Facility | 540 Falcon Crest Dr, Spearfish, SD 57783-3255 | 2008-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277099 | Yankton Aw | Assisted Living Facility | 2903 Douglas Ave, Yankton, SD 57078-4888 | 2020-08-25 |
| 1760094122 | Mitchell Retirement | Assisted Living Facility | 2100 N Wisconsin St, Mitchell, SD 57301-1261 | 2020-08-18 |
| 1346897352 | Huron Sd Assisted Living Facility LLC | Assisted Living Facility | 1251 Arizona Ave Sw, Huron, SD 57350-3015 | 2019-08-23 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1447722210 | Sturgis Assisted Living, LLC | Assisted Living Facility | 2065 Moose Dr, Sturgis, SD 57785-4003 | 2018-12-18 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1306336656 | Will Care Services, LLC | Assisted Living Facility | 4709 E 6th St, Sioux Falls, SD 57110-5851 | 2018-05-12 |
| 1538656400 | Viborg Retirement Living, Inc | Assisted Living Facility | 211 Peterson Drive, Viborg, SD 57070 | 2018-04-17 |
| 1770004996 | Edgewood Mitchell LLC | Assisted Living Facility | 501 East Spruce Street, Mitchell, SD 57301 | 2017-06-28 |
| 1760835052 | Rclalc,llc | Assisted Living Facility | 409 E Fairlane Dr, Rapid City, SD 57701-7207 | 2016-07-21 |
| Find all providers with the same taxonomy | ||||
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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.