EDGEWOOD VISTA SENIOR LIVING INC


Address: 3406 Dominion St, Bismarck, ND 58503-5577
Phone: 7012587489

EDGEWOOD VISTA SENIOR LIVING INC (NPI# 1932252376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932252376
Entity Type Organization
Organization Name EDGEWOOD VISTA SENIOR LIVING INC
Practice Address 3406 Dominion St
Bismarck
ND 58503-5577
Mailing Address Po Box 13336
2450 24th Ave S Suite 201
Grand Forks
ND 58208-3336
Practice Telephone 7012587489
Mailing Telephone 7017382000
Mailing Fax Number 7017382001
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 310400000X Assisted Living Facility 1 ND Nursing & Custodial Care Facilities
X 310400000X Assisted Living Facility 15 ND Nursing & Custodial Care Facilities
X 311500000X Alzheimer Center (Dementia Center) 8058A ND Nursing & Custodial Care Facilities
X 311500000X Alzheimer Center (Dementia Center) 8057A ND Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ND 30751 05
ND 32083 05
ND 30721 05
ND 39962 05

Other Provider IDs and Locations

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
1548313992 Edgewood Vista Senior Living Inc Assisted Living Facility 540 Falcon Crest Dr, Spearfish, SD 57783-3255 2007-01-19

Office Location

Street Address 3406 DOMINION ST
City BISMARCK
State ND
Zip Code 58503-5577

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932588621 Edgewood Bismarck Senior Living LLC Assisted Living Facility 3406 Dominion St, Bismarck, ND 58503-5577 2015-05-27
1225261274 Dakota Physical Therapy, PC Physical Therapist 3406 Dominion St, Bismarck, ND 58503-5577 2009-08-25
1659543288 Edgewood Bismarck Senior Living, LLC Alzheimer Center (Dementia Center) 3406 Dominion St, Bismarck, ND 58503-5577 2008-03-24
1598936247 Edgewood Bismarck Senior Living, LLC Assisted Living Facility 3406 Dominion St, Bismarck, ND 58503-5577 2008-03-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356951503 Community Options for Residential and Employment Services, Inc Community/Behavioral Health 4909 Shelburne St, Bismarck, ND 58503 2020-08-03
1104460476 Brittany Lee Feil Registered Nurse 808 N Washington St., Bismarck, ND 58503 2019-10-30
1760030670 Rachel Lees Technician 1727 Valley Drive, Bismark, ND 58503 2019-09-04
1700444619 St Alexius Medical Center Non-Pharmacy Dispensing Site 807 East Main Suite A, Bismarck, ND 58503 2019-06-05
1881162972 White Drug Co of Jamestown Inc Pharmacy 900 Ne 43rd Ave, Bismarck, ND 58503 2018-11-06
1104347137 Adapt, Inc. Counselor 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 2017-06-29
1679010953 Optimum Therapies of North Dakota, Inc Physical Therapist 4204 Boulder Ridge Rd, Suite 100, Bismarck, ND 58503 2017-01-25
1972954162 Ava Burckhard Speech-Language Pathologist 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 2016-06-29
1306292842 Margaret Williams Nurse Practitioner 4315 Ottawa St, Bismarck, ND 58503 2016-05-13
1649638958 Horizon Chiropractic & Wellness PC Chiropractor 4535 Northern Sky Dr., Bismarck, ND 58503 2016-02-01
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy 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.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770783169 Burleigh County Housing Authority Assisted Living Facility 901 E Bowen Ave, Bismarck, ND 58504-5686 2007-07-23
1518095223 Colonial Retirement Center Inc. Assisted Living Facility 1162 Cedar Street, Bismarck, MO 63624-0727 2007-03-02
1780123208 Benedictine Living Communities - Bismarck Housing, LLC Assisted Living Facility 4580 Coleman St, Bismarck, ND 58503-0431 2017-02-16
1932588621 Edgewood Bismarck Senior Living LLC Assisted Living Facility 3406 Dominion St, Bismarck, ND 58503-5577 2015-05-27
1598936247 Edgewood Bismarck Senior Living, LLC Assisted Living Facility 3406 Dominion St, Bismarck, ND 58503-5577 2008-03-20

Providers in the same taxonomy and state

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
1083239776 Altru Health System Assisted Living Facility 4004 24th Ave S, Grand Forks, ND 58201-8863 2020-06-09
1437621885 Edgewood Minot Senior Living, LLC Assisted Living Facility 520 28th Ave, Minot, ND 58208 2018-12-26
1891241139 Edgewood Jamestown,llc Assisted Living Facility 322 Demers Ave, Suite 500, Grand Forks, ND 58201-4754 2016-08-28
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
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Competitor

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City BISMARCK
Zip Code 58503

Improve Information

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Dataset Information

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.

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