Edgewood Blaine LLC
NPI 1396167953 · Assisted Living Facility · Blaine, MN
Edgewood Blaine LLC is a Assisted Living Facility organization in Blaine, MN (NPI 1396167953).
Provider details
- NPI number
- 1396167953
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Whetter, Vp of Finance/Budget(701) 757-5465
- License
- 29941 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2014-01-15
- Last updated
- 2014-01-15
Frequently asked questions
- What is Edgewood Blaine LLC's NPI number?
- Edgewood Blaine LLC's National Provider Identifier (NPI) is 1396167953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edgewood Blaine LLC?
- Edgewood Blaine LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Edgewood Blaine LLC located?
- Edgewood Blaine LLC's practice location on file with NPPES is 12450 Cloud Dr Ne, Blaine, MN 55449-6226.
- What is Edgewood Blaine LLC's phone number?
- The practice phone number listed in the NPPES registry for Edgewood Blaine LLC is (763) 754-1723.
- Who is the authorized official for Edgewood Blaine LLC?
- The authorized official listed on Edgewood Blaine LLC's NPPES record is Ronald Whetter, Vp of Finance/Budget. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edgewood Blaine LLC's NPI active?
- Yes — Edgewood Blaine LLC's NPI (1396167953) is active in the NPPES registry as of the last update on 2014-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.