EDGEWOOD GRAND FORKS LLC NPI 1386390672

NPI Information

  • NPI: 1386390672
  • Provider Name: EDGEWOOD GRAND FORKS LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1800 47TH AVE S
    GRAND FORKS, ND
    ZIP 58201
  • Phone: (701) 738-2000

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NPI Details

EDGEWOOD GRAND FORKS LLC is an assisted living facility in Grand Forks, ND. The provider is 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. EDGEWOOD GRAND FORKS LLC NPI is 1386390672. The provider is registered as an organization entity type.

The provider's business location address is:

1800 47TH AVE S
GRAND FORKS, ND
ZIP 58201
Phone: (701) 738-2000
Fax: (701) 738-2001

The provider's authorized official is John Dybwad .
The authorized official title is Vp Finance/budget and has the following contact phone number (701) 757-5422.

The enumeration date for this NPI number is 2/24/2022 and was last updated on 9/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes
2311500000XAlzheimer Center (Dementia Center)No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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