OrganizationActive
Edgewood Mandan, LLC
NPI 1306243647 · Assisted Living Facility · Mandan, ND
Provider details
- NPI number
- 1306243647
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ron Whetter, Vp Finance/Budget(218) 230-5953
- License
- 88 (ND)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2801 39th Ave Se
Mandan, ND 58554-6430
Phone: (701) 663-5664
Street-level locationGet directions
Mailing address
322 Demers Ave
Grand Forks, ND 58201-4754
Registry dates
- Enumerated
- 2014-12-02
- Last updated
- 2014-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.