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EDGEWOOD CASA GRANDE AZ02 LLC
NPI 1508790833
Assisted Living Facility in Casa Grande, AZ

Active since June 11, 2026
1640 N PEART RD, CASA GRANDE, AZ 85122(520) 280-0339 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgewood Casa Grande Az02 Llc NPPES

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

EDGEWOOD CASA GRANDE AZ02 LLC (NPI 1508790833), doing business as Avista Senior Living Casa Grande, is a healthcare organization registered as an assisted living facility in Casa Grande, Arizona and active in the NPI registry since June 2026. The organization lists John Dybwad, Vp Finance/budget, as its authorized official.

NPPES Registry Identity

NPI1508790833
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDGEWOOD CASA GRANDE AZ02 LLC
Location Address1640 N PEART RDCasa Grande, AZ 85122-2564
Mailing AddressPo Box 13238Grand Forks, ND 58208-3238 · (701) 738-2000 · Fax (701) 738-2000
Phone(520) 280-0339
Organization SubpartNo
Authorized OfficialJohn DybwadVp Finance/budget · (701) 738-2000
Enumeration DateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1508790833 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.
1640 N PEART RD, Casa Grande, AZ 85122
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Other Names 1

Doing Business AsAvista Senior Living Casa Grande

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASA GRANDE SENIOR LIVING, LLC
Clinic/Center (Adult Day Care)
1640 N PEART RD
CASA GRANDE, AZ 85122
Pinal County (520) 314-9040
MARLYN WILLIAMS
Massage Therapist
1640 N PEART RD
CASA GRANDE, AZ 85122
Pinal County (520) 431-7127
CALICHE OPERATIONS LLC
Assisted Living Facility
1640 N PEART RD
CASA GRANDE, AZ 85122
Pinal County (916) 542-7988
CASA GRANDE SENIOR LIVING, LLC
Assisted Living Facility
1640 N PEART RD
CASA GRANDE, AZ 85122
Pinal County (520) 314-9040

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 Casa Grande Az02 LLC's NPI number?

The NPI number for Edgewood Casa Grande Az02 LLC is 1508790833. It was assigned to this organization in the NPPES registry on June 11, 2026. The provider is doing business as Avista Senior Living Casa Grande.

Where is Edgewood Casa Grande Az02 LLC located?

Edgewood Casa Grande Az02 LLC is located at 1640 N Peart Rd, Casa Grande, AZ 85122. The listed phone number is (520) 280-0339.

What is Edgewood Casa Grande Az02 LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Edgewood Casa Grande Az02 LLC was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.