Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edgewood Casa Grande AZ02 LLC

Organization Assisted Living Facility · NPI 1508790833

Edgewood Casa Grande AZ02 LLC is an Assisted Living Facility in Casa Grande, Arizona. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1640 N Peart Rd
Casa Grande, AZ 85122-2564
Phone: (520) 280-0339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1508790833
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Dybwad — Vp Finance/Budget · (701) 738-2000
Other names Avista Senior Living Casa Grande
NPI enumeratedJune 11, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing addressPo Box 13238, Grand Forks, ND 58208-3238

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