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EDGEWOOD MINOT SENIOR LIVING, LLC
NPI 1851562607
Assisted Living Facility in Minot, ND

Active since March 20, 2008CLIA 35D2321339 · Waiver
800 16TH AVE SE, MINOT, ND 58701(701) 852-1399(701) 838-0613 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 30, 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 1851562607) is a healthcare organization registered as an assisted living facility in Minot, North Dakota and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through April 1, 2027 and lists Gene Hysjulien, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851562607
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDGEWOOD MINOT SENIOR LIVING, LLC
Location Address800 16TH AVE SEMinot, ND 58701-6781
Mailing Address2850 24th Ave S, Suite 201Grand Forks, ND 58201-5831 · (701) 738-2000 · Fax (701) 738-2001
Phone(701) 852-1399
Fax(701) 838-0613
Organization SubpartNo
Authorized OfficialGene HysjulienCeo · (701) 738-2000
Enumeration DateMarch 20, 2008
✔ NPI 1851562607 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 · 69
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.
800 16TH AVE SE, Minot, ND 58701
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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 35D2321339

Edgewood Minot On Tenth, LLC · Minot, ND
Active · expires Apr 1, 2027
CLIA Number35D2321339
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorHeather Sys
Laboratory Phone(701) 738-2000
Laboratory LocationEdgewood Minot On Tenth, LLC3515 10th St SW, Minot, ND 58701
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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
800 16TH AVE SE
MINOT, ND 58701
Ward County (701) 852-1399
NORTH DAKOTA SPEECH AND SWALLOWING SPECIALISTS, PLLC
Speech-Language Pathologist
800 16TH AVE SE
MINOT, ND 58701
Ward County (701) 228-6050
BRAXTIN LEE THOMAS
Physical Therapist
800 16TH AVE SE
MINOT, ND 58701
Ward County (888) 223-4287
KAYLA NICOLE JUNGLING M.S., OTR/L
Occupational Therapist
800 16TH AVE SE
MINOT, ND 58701
Ward County (701) 852-1399
ASHLEY ESTANISLAO PT
Physical Therapist
800 16TH AVE SE
MINOT, ND 58701
Ward County (701) 852-1399
KRISTIN ANDERSON M.S., CCC-SLP
Speech-Language Pathologist
800 16TH AVE SE
MINOT, ND 58701
Ward County (701) 289-4675
DR. JENNIFER INGOLD PT, DPT
Physical Therapist (Geriatrics)
800 16TH AVE SE
MINOT, ND 58701
Ward County (701) 852-1399
CARINGEDGE HEALTHCARE OF MINOT LLC
Home Health
800 16TH AVE SE
MINOT, ND 58701
Ward County (888) 223-4287

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 1851562607. It was assigned to this organization in the NPPES registry on March 20, 2008.

Where is Edgewood Minot Senior Living, LLC located?

Edgewood Minot Senior Living, LLC is located at 800 16th Ave SE, Minot, ND 58701. 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2321339) is associated with this NPI, valid through April 1, 2027. 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 Minot Senior Living, LLC was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.