1. Home
  2. Directory
  3. North Dakota
  4. Bismarck
  5. Assisted Living Facility
  6. NPI Profile

EDGEWOOD BISMARCK SENIOR LIVING, LLC
NPI 1598936247
Assisted Living Facility in Bismarck, ND

Active since March 20, 2008CLIA 35D0952043 · Waiver
3406 DOMINION ST, BISMARCK, ND 58503(701) 258-7489(701) 258-7491 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edgewood Bismarck Senior Living, Llc NPPES

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

EDGEWOOD BISMARCK SENIOR LIVING, LLC (NPI 1598936247) is a healthcare organization registered as an assisted living facility in Bismarck, North Dakota and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists John Dybwad, Vp Finance/budget, as its authorized official.

NPPES Registry Identity

NPI1598936247
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDGEWOOD BISMARCK SENIOR LIVING, LLC
Location Address3406 DOMINION STBismarck, ND 58503-5577
Mailing AddressPo Box 13238Grand Forks, ND 58208-3238 · (701) 738-2000 · Fax (701) 738-2001
Phone(701) 258-7489
Fax(701) 258-7491
Organization SubpartNo
Authorized OfficialJohn DybwadVp Finance/budget · (701) 738-2000
Enumeration DateMarch 20, 2008
Last NPPES UpdateFebruary 10, 2025
NPPES CertifiedFebruary 10, 2025
✔ NPI 1598936247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in ND · 67
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.
3406 DOMINION ST, Bismarck, ND 58503
Open in Google Maps ↗

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 35D0952043

Edgewood Bismarck Senior Living, LLC Dba Edgewood Vista Bismarck · Bismarck, ND
Active · expires Oct 1, 2026
CLIA Number35D0952043
Laboratory TypeOther
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorDani Miller
Laboratory Phone(701) 258-7489
Laboratory LocationEdgewood Bismarck Senior Living, LLC Dba Edgewood Vista Bismarck3406 Dominion St, Bismarck, ND 58503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

KATELYN ERICKSON
Speech-Language Pathologist
3406 DOMINION ST
BISMARCK, ND 58503
Burleigh County (701) 390-1312
EDGEWOOD BISMARCK SENIOR LIVING, LLC
Alzheimer Center (Dementia Center)
3406 DOMINION ST
BISMARCK, ND 58503
Burleigh County (701) 258-7489
EDGEWOOD VISTA SENIOR LIVING INC
Alzheimer Center (Dementia Center)
3406 DOMINION ST
BISMARCK, ND 58503
Burleigh County (701) 258-7489
EDGEWOOD BISMARCK SENIOR LIVING LLC
Assisted Living Facility
3406 DOMINION ST
BISMARCK, ND 58503
Burleigh County (701) 757-5465

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 Bismarck Senior Living, LLC's NPI number?

The NPI number for Edgewood Bismarck Senior Living, LLC is 1598936247. It was assigned to this organization in the NPPES registry on March 20, 2008.

Where is Edgewood Bismarck Senior Living, LLC located?

Edgewood Bismarck Senior Living, LLC is located at 3406 Dominion St, Bismarck, ND 58503. The listed phone number is (701) 258-7489.

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

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

Does Edgewood Bismarck Senior Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D0952043) is associated with this NPI, valid through October 1, 2026. 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 Bismarck Senior Living, LLC was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.