OrganizationActive
Edgewood Brainerd Senior Living LLC
NPI 1205010147 · Assisted Living Facility · Brainerd, MN
Provider details
- NPI number
- 1205010147
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gene Hysjulien, Ceo(701) 738-2000
- License
- 338402 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14890 Beaver Dam Rd
Brainerd, MN 56401-6019
Phone: (701) 738-2000
Fax: (701) 738-2001
Street-level locationGet directions
Mailing address
2850 24th Ave S
Grand Forks, ND 58201-5831
Registry dates
- Enumerated
- 2007-12-27
- Last updated
- 2007-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.