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EDGEWOOD MINOT SENIOR LIVING, LLC
NPI 1437621885
Assisted Living Facility in Minot, ND

Active since December 26, 2018CLIA Certified · 2 labs
520 28TH AVE, MINOT, ND 58208(701) 852-1399(701) 838-0613 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edgewood Minot Senior Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGEWOOD MINOT SENIOR LIVING, LLC (NPI 1437621885) is a healthcare organization registered as an assisted living facility in Minot, North Dakota and active in the NPI registry since December 2018. The organization holds 2 active CLIA laboratory certificates and lists Ronald Whetter, Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1437621885
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDGEWOOD MINOT SENIOR LIVING, LLC
Location Address520 28TH AVEMinot, ND 58208
Mailing AddressPo Box 13238Grand Forks, ND 58208 · (701) 757-5465 · Fax (701) 738-2001
Phone(701) 852-1399
Fax(701) 838-0613
Organization SubpartYesParent: Edgewood Minot Senior Living
Authorized OfficialRonald WhetterVice President Of Finance · (701) 757-5465
Enumeration DateDecember 26, 2018
✔ NPI 1437621885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

520 28TH AVE, Minot, ND 58208
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CLIA Laboratory Certificates CMS CLIA 2

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 35D2159517

Edgewood Minot Senior Living, LLC · Minot, ND
Active · expires Dec 18, 2026
CLIA Number35D2159517
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorTiffany Rhein
Laboratory Phone(701) 852-1399
Laboratory LocationEdgewood Minot Senior Living, LLC520 28th Ave, Minot, ND 58701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 35D0923857

Edgewood Minot Senior Living, LLC Dba Edgewood Vista Minot · Minot, ND
Active · expires Jan 9, 2027
CLIA Number35D0923857
Laboratory TypeOther
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorKara Kline
Laboratory Phone(701) 852-1399
Laboratory LocationEdgewood Minot Senior Living, LLC Dba Edgewood Vista Minot800 16th Ave SE, Minot, ND 58701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Minot Senior Living, LLC's NPI number?

The NPI number for Edgewood Minot Senior Living, LLC is 1437621885. It was assigned to this organization in the NPPES registry on December 26, 2018.

Where is Edgewood Minot Senior Living, LLC located?

Edgewood Minot Senior Living, LLC is located at 520 28th Ave, Minot, ND 58208. The listed phone number is (701) 852-1399.

What is Edgewood Minot Senior Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Edgewood Minot Senior Living, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Edgewood Minot Senior Living, LLC was last updated on December 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.