Edgewood Blaine LLC
NPI 1396167953ActiveOrganization· Assisted Living Facility· Blaine, MN
Assisted Living Facility in Blaine, Minnesota, registered in NPPES in January 2014. The authorized official on file is Ronald Dale Whetter, Vp Of Finance/Budget.
Overview
| NPI | 1396167953 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2014 |
| Last updated in NPPES | Jan 15, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 29791 | MN |
| Assisted Living Facility | 310400000X | 29941 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Assisted Living Facility providers in Blaine
- 1871989806
- 1164757464
- 1023241825
- 1396993036
- 1205386091
- 1730077421
- 1144925561
- 1619529542
- 1962921924
- 1740102441
- 1457047037
- 1023736634