Edgewood Hermantown I Senior Living LLC
NPI 1609050442 · Assisted Living Facility · Hermantown, MN
Edgewood Hermantown I Senior Living LLC is a Assisted Living Facility organization in Hermantown, MN (NPI 1609050442).
Provider details
- NPI number
- 1609050442
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ron Whetter, Vp Budget and Finance(701) 738-2000
- License
- 338403 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-12-27
- Last updated
- 2011-05-26
Frequently asked questions
- What is Edgewood Hermantown I Senior Living LLC's NPI number?
- Edgewood Hermantown I Senior Living LLC's National Provider Identifier (NPI) is 1609050442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edgewood Hermantown I Senior Living LLC?
- Edgewood Hermantown I Senior Living LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Edgewood Hermantown I Senior Living LLC located?
- Edgewood Hermantown I Senior Living LLC's practice location on file with NPPES is 4195 Westberg Rd, Hermantown, MN 55811-3916.
- What is Edgewood Hermantown I Senior Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Edgewood Hermantown I Senior Living LLC is (701) 738-2000.
- Who is the authorized official for Edgewood Hermantown I Senior Living LLC?
- The authorized official listed on Edgewood Hermantown I Senior Living LLC's NPPES record is Ron Whetter, Vp Budget and Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edgewood Hermantown I Senior Living LLC's NPI active?
- Yes — Edgewood Hermantown I Senior Living LLC's NPI (1609050442) is active in the NPPES registry as of the last update on 2011-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.