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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 30751 | 05 | |
ND | 32083 | 05 | |
ND | 30721 | 05 | |
ND | 39962 | 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 |
1548313992 | Edgewood Vista Senior Living Inc | Assisted Living Facility | 540 Falcon Crest Dr, Spearfish, SD 57783-3255 | 2007-01-19 |
Street Address |
3406 DOMINION ST |
City | BISMARCK |
State | ND |
Zip Code | 58503-5577 |
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 |
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 |
Find all providers in zip 58503 |
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 |
---|---|---|---|---|
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 |
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 |
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.