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Edgewood Fruitland Senior Living Llc

Assisted Living Facility

JOHN DYBWAD
NPI: 1063840353Fruitland, Idaho, 83619(208) 452-5163

About Edgewood Fruitland Senior Living Llc

Edgewood Fruitland Senior Living Llc is a healthcare organization providing Assisted Living Facility services, registered under National Provider Identifier (NPI) number 1063840353. The authorized official for Edgewood Fruitland Senior Living Llc is JOHN DYBWAD.

The organization is headquartered at 1255 ALLEN AVE, Fruitland, Idaho 83619. The main office can be reached at (208) 452-5163. Edgewood Fruitland Senior Living Llc has been NPI-registered since 2013.

Locations & Contact

Primary Location

Address
1255 ALLEN AVE
City
Fruitland
State
Idaho
ZIP
83619-2704
Phone
(208) 452-5163
View on Google Maps

Authorized Official

Name
JOHN DYBWAD

Mailing Address

Address
PO BOX 13238
City
GRAND FORKS
State
ND
ZIP
58208

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Assisted Living Facility
Classification
Assisted Living Facility
Taxonomy Code
310400000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Edgewood Fruitland Senior Living Llc's NPI number?
Edgewood Fruitland Senior Living Llc's National Provider Identifier (NPI) is 1063840353. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Edgewood Fruitland Senior Living Llc specialize in?
Edgewood Fruitland Senior Living Llc specializes in Assisted Living Facility.
Where is Edgewood Fruitland Senior Living Llc located?
Edgewood Fruitland Senior Living Llc practices at 1255 ALLEN AVE, Fruitland, Idaho 83619. You can reach them by phone at (208) 452-5163.
Does Edgewood Fruitland Senior Living Llc accept Medicare?
Based on available data, Edgewood Fruitland Senior Living Llc is not currently enrolled in the Medicare program.
Does Edgewood Fruitland Senior Living Llc offer telehealth or virtual visits?
Edgewood Fruitland Senior Living Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Edgewood Fruitland Senior Living Llc holds NPI 1063840353, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.