Edgewood Vista Senior Living Inc

LBN: Edgewood Vista Senior Living Inc
Edgewood Vista Senior Living Inc is an health care organization with primary practice located at 3406 Dominion St , Bismarck ND 58503-5577. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Edgewood Vista Senior Living Inc can be contacted via phone (701) 258-7489, or through Wagner, Ann M via phone (701) 738-2000.

Contact Information

Primary practice address
3406 Dominion St Bismarck ND 58503-5577
Phone: (701) 258-7489
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Ann M
Phone: (701) 738-2000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 1 North Dakota
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 15 North Dakota
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X 8058A North Dakota
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X 8057A North Dakota

Profile Details

NPI number 1932252376
LBN Legal business name Edgewood Vista Senior Living Inc
DBA Doing business as
Authorized official Wagner, Ann M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932252376 NPPES
North Dakota MEDICAID 30751
North Dakota MEDICAID 39962
North Dakota MEDICAID 30721
North Dakota MEDICAID 32083

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