OrganizationActive
Edgewood Fargo Senior Living, LLC
NPI 1619148467 · Assisted Living Facility · Fargo, ND
Provider details
- NPI number
- 1619148467
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gene Hysjulien, Ceo(701) 738-2000
- License
- 70 (ND)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 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
4420 37th Ave S
Fargo, ND 58104-3400
Phone: (701) 365-8200
Fax: (701) 365-8202
Approximate (ZIP-level) locationGet directions
Mailing address
2850 24th Ave S
Grand Forks, ND 58201-5831
Registry dates
- Enumerated
- 2008-03-20
- Last updated
- 2008-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.