EDGEWOOD BISMARCK SENIOR LIVING, LLC
NPI 1770293987
Alzheimer Center (Dementia Center) in Bismarck, ND

NPI Status: Active since November 29, 2022

Contact Information

3124 COLORADO LN
BISMARCK, ND
ZIP 58503
Phone: (701) 738-2000

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  • Organization
  • Alzheimer Center (Dementia Center)

About EDGEWOOD BISMARCK SENIOR LIVING, LLC

This page provides the complete NPI Profile along with additional information for Edgewood Bismarck Senior Living, Llc, a provider established in Bismarck, North Dakota operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1770293987 assigned on November 2022. The practitioner's primary taxonomy code is 311500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. John Dybwad (Vp Finance/budget)

NPI
1770293987
Provider Name
EDGEWOOD BISMARCK SENIOR LIVING, LLC
Entity Type
Organization
Location Address
3124 COLORADO LN BISMARCK, ND 58503
Location Phone
(701) 738-2000
Mailing Address
PO BOX 13238 GRAND FORKS, ND 58208
Mailing Phone
(701) 738-2000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2022
Last Update Date
11-29-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOHN DYBWAD

Authorized Official Title
VP FINANCE/BUDGET
Authorized Official Phone
(701) 757-5422

Reviews for EDGEWOOD BISMARCK SENIOR LIVING, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770293987
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27140496916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 4 + 9 + 6 + 9 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1770293987 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093224867CARINGEDGE HOSPICE OF BISMARCK LLC
Organization
Hospice Care, Community Based3124 COLORADO LN
BISMARCK, ND 58503
(701) 751-5300
1649789405CARINGEDGE HEALTHCARE OF BISMARCK LLC
Organization
Home Health3124 COLORADO LN
BISMARCK, ND 58503
(701) 751-5300
1508302100MISS COURTNEY MELISSA OLSON M.S. CFY-SLP
Individual
Speech-Language Pathologist3124 COLORADO LN
BISMARCK, ND 58503
(701) 751-5325
1518946474 TONY NEAMEYER PT
Individual
Physical Therapist3124 COLORADO LN
BISMARCK, ND 58503
(701) 214-5379
1568937860 KALLEE OXBORROW
Individual
Physical Therapist3124 COLORADO LN
BISMARCK, ND 58503
(701) 241-5379
1447969142 ERIKA ZURAUSKAITE PT
Individual
Physical Therapist3124 COLORADO LN
BISMARCK, ND 58503
(701) 214-5379
1831567247MRS. MORGAN LEIGH KETTERLING PT, DPT, LAT, ATC
Individual
Physical Therapist3124 COLORADO LN
BISMARCK, ND 58503
(701) 214-5379
1407507841 BRITTA SKJEFTE
Individual
Pharmacist3124 COLORADO LN
BISMARCK, ND 58503
(701) 223-6854

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770293987, enumerated in the NPI registry as an "organization" on November 29, 2022

The provider is located at 3124 Colorado Ln Bismarck, Nd 58503 and the phone number is (701) 738-2000

This medical organization specializes in Alzheimer Center (Dementia Center) with taxonomy code 311500000X

This NPI record was last updated on November 29, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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