Edgewood Grand Forks LLC
NPI 1386390672ActiveOrganization· Assisted Living Facility· Grand Forks, ND
Assisted Living Facility in Grand Forks, North Dakota, registered in NPPES in February 2022. The authorized official on file is John Dybwad, Vp Finance/Budget.
Overview
| NPI | 1386390672 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 24, 2022 |
| Last updated in NPPES | Sep 4, 2024 |
| Certified by provider | Sep 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
| Alzheimer Center (Dementia Center) | 311500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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