EDGEWOOD VISTA SENIOR LIVING INC
NPI 1700930567
Alzheimer Center (Dementia Center) in Minot, ND

Q: What is Edgewood Vista Senior Living Inc's NPI number?

The NPI number for Edgewood Vista Senior Living Inc is 1700930567. It was assigned to this organization in the NPPES registry on January 22, 2007.

Q: What is Edgewood Vista Senior Living Inc's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Active since January 22, 2007

800 16TH AVE SE, MINOT, ND 58701(701) 852-1399 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Edgewood Vista Senior Living Inc NPPES

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

EDGEWOOD VISTA SENIOR LIVING INC (NPI 1700930567) is a healthcare organization registered as an alzheimer center (dementia center) in Minot, North Dakota and active in the NPI registry since January 2007. The organization lists Ann M Wagner, Accounts Receivable Clerk, as its authorized official.

NPPES Registry Identity

NPI1700930567

Entity TypeOrganization

Primary Taxonomy311500000X

Legal Business NameEDGEWOOD VISTA SENIOR LIVING INC

Location Address800 16TH AVE SEMinot, ND 58701-6781

Mailing AddressPo Box 13336, 2850 24th Ave S Suite 201Grand Forks, ND 58208-3336 · (701) 738-2000 · Fax (701) 738-2001

Phone(701) 852-1399

Organization SubpartNo

Authorized OfficialAnn M WagnerAccounts Receivable Clerk · (701) 738-2000

Enumeration DateJanuary 22, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1700930567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities

Taxonomy Code311500000X

License✔ Licensed in ND · 8057A

Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

Also ListedAssisted Living FacilityTaxonomy 310400000X · License 15 (ND)

Other Identifiers 2

Medicaid39962ND

Medicaid30721ND

Other Providers at the Same Location NPPES 12

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

JANE SHEKLETON OT

Occupational Therapist