Edgewood Vista
NPI 1790838977 · Assisted Living Facility · East Grand Forks, MN
Edgewood Vista is a Assisted Living Facility organization in East Grand Forks, MN (NPI 1790838977).
Provider details
- NPI number
- 1790838977
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Brett Wilkening, Billing(701) 738-2000
- License
- 333593 (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
19 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
- 2007-01-19
- Last updated
- 2020-08-22
Frequently asked questions
- What is Edgewood Vista's NPI number?
- Edgewood Vista's National Provider Identifier (NPI) is 1790838977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edgewood Vista?
- Edgewood Vista is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Edgewood Vista located?
- Edgewood Vista's practice location on file with NPPES is 608 5th Ave Nw, East Grand Forks, MN 56721-1738.
- What is Edgewood Vista's phone number?
- The practice phone number listed in the NPPES registry for Edgewood Vista is (218) 773-6648.
- Who is the authorized official for Edgewood Vista?
- The authorized official listed on Edgewood Vista's NPPES record is Brett Wilkening, Billing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edgewood Vista's NPI active?
- Yes — Edgewood Vista's NPI (1790838977) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.