OrganizationActive
Edgewood Lakewood Mandan, LLC
NPI 1841015583 · Assisted Living Facility · Mandan, ND
Edgewood Lakewood Mandan, LLC is a Assisted Living Facility organization in Mandan, ND (NPI 1841015583).
Provider details
- NPI number
- 1841015583
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Dybwad, Vp Finance/Budget(701) 757-5422
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4401 21st St Se
Mandan, ND 58554-6425
Phone: (701) 738-2000
Fax: (701) 738-2001
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 13238
Grand Forks, ND 58208-3238
Registry dates
- Enumerated
- 2024-11-18
- Last updated
- 2024-11-18
- Certified
- 2024-11-18
Frequently asked questions
- What is Edgewood Lakewood Mandan, LLC's NPI number?
- Edgewood Lakewood Mandan, LLC's National Provider Identifier (NPI) is 1841015583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edgewood Lakewood Mandan, LLC?
- Edgewood Lakewood Mandan, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Edgewood Lakewood Mandan, LLC located?
- Edgewood Lakewood Mandan, LLC's practice location on file with NPPES is 4401 21st St Se, Mandan, ND 58554-6425.
- What is Edgewood Lakewood Mandan, LLC's phone number?
- The practice phone number listed in the NPPES registry for Edgewood Lakewood Mandan, LLC is (701) 738-2000.
- Who is the authorized official for Edgewood Lakewood Mandan, LLC?
- The authorized official listed on Edgewood Lakewood Mandan, LLC's NPPES record is John Dybwad, Vp Finance/Budget. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edgewood Lakewood Mandan, LLC's NPI active?
- Yes — Edgewood Lakewood Mandan, LLC's NPI (1841015583) is active in the NPPES registry as of the last update on 2024-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.