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

EDGEWOOD LAKEWOOD MANDAN, LLC
NPI 1841015583
Assisted Living Facility in Mandan, ND

Active since November 18, 2024
4401 21ST ST SE, MANDAN, ND 58554(701) 738-2000(701) 738-2001 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Edgewood Lakewood Mandan, Llc NPPES

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

EDGEWOOD LAKEWOOD MANDAN, LLC (NPI 1841015583) is a healthcare organization registered as an assisted living facility in Mandan, North Dakota and active in the NPI registry since November 2024. The organization lists John Dybwad, Vp Finance/budget, as its authorized official.

NPPES Registry Identity

NPI1841015583
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDGEWOOD LAKEWOOD MANDAN, LLC
Location Address4401 21ST ST SEMandan, ND 58554-6425
Mailing AddressPo Box 13238Grand Forks, ND 58208-3238 · (701) 738-2000 · Fax (701) 738-2001
Phone(701) 738-2000
Fax(701) 738-2001
Organization SubpartNo
Authorized OfficialJohn DybwadVp Finance/budget · (701) 757-5422
Enumeration DateNovember 18, 2024
NPPES CertifiedNovember 18, 2024
✔ NPI 1841015583 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.

4401 21ST ST SE, Mandan, ND 58554
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

LAKEWOOD LANDING, INC.
Assisted Living Facility
4401 21ST ST SE
MANDAN, ND 58554
Morton County (701) 751-6191
EDGEWOOD LAKEWOOD MANDAN LLC
Alzheimer Center (Dementia Center)
4401 21ST ST SE
MANDAN, ND 58554
Morton County (701) 738-2000

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 Lakewood Mandan, LLC's NPI number?

The NPI number for Edgewood Lakewood Mandan, LLC is 1841015583. It was assigned to this organization in the NPPES registry on November 18, 2024.

Where is Edgewood Lakewood Mandan, LLC located?

Edgewood Lakewood Mandan, LLC is located at 4401 21st St SE, Mandan, ND 58554. The listed phone number is (701) 738-2000.

What is Edgewood Lakewood Mandan, 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 Lakewood Mandan, LLC was last updated on November 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.