Edgewood Vista Senior Living Inc
NPI 1548313992ActiveOrganization· Assisted Living Facility· Spearfish, SD
Assisted Living Facility in Spearfish, South Dakota, registered in NPPES in January 2007. The authorized official on file is Ann M. Wagner, Accounts Receivable Clerk.
Overview
| NPI | 1548313992 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 11073 | SD |
| Assisted Living Facility | 310400000X | 49736 | SD |
| Alzheimer Center (Dementia Center) | 311500000X | 49736 | SD |
| Alzheimer Center (Dementia Center) | 311500000X | 11073 | SD |
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 |
|---|
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