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Edgewood Jamestown,llc

NPI 1891241139ActiveOrganization· Assisted Living Facility· Grand Forks, ND

Assisted Living Facility in Grand Forks, North Dakota, registered in NPPES in August 2016. The authorized official on file is Rex Carlson, Cfo.

Overview

NPI1891241139
StatusActive
Entity typeOrganization
NPI issuedAug 28, 2016
Last updated in NPPESAug 28, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Assisted Living Facility providers in Grand Forks

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