EDGEWOOD GRAND FORKS LLC
NPI 1386390672
Assisted Living Facility in Grand Forks, ND
About Edgewood Grand Forks Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGEWOOD GRAND FORKS LLC (NPI 1386390672) is a healthcare organization registered as an assisted living facility in Grand Forks, North Dakota and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists John Dybwad, Vp Finance/budget, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 35D2254548
Edgewood Grand Forks LLC · Grand Forks, NDOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edgewood Grand Forks LLC's NPI number?
The NPI number for Edgewood Grand Forks LLC is 1386390672. It was assigned to this organization in the NPPES registry on February 24, 2022.
Where is Edgewood Grand Forks LLC located?
Edgewood Grand Forks LLC is located at 1800 47th Ave S, Grand Forks, ND 58201. The listed phone number is (701) 738-2000.
What is Edgewood Grand Forks LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Edgewood Grand Forks LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 35D2254548) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Edgewood Grand Forks LLC was last updated on September 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.