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

Edgewood Hermantown 1 Senior Living LLC

Organization Assisted Living Facility · NPI 1699189381

Edgewood Hermantown 1 Senior Living LLC is an Assisted Living Facility in Hermantown, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
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

4175 Westberg Rd
Hermantown, MN 55811-3916
Phone: (218) 723-8905
Fax: (218) 723-4051
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 363096 (MN)

Record details

NPI number1699189381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ron Whetter — Vp Of Finance/Budget · (701) 757-5465
NPI enumeratedJune 20, 2014
Last updated in NPPESJune 20, 2014
Mailing address322 Demers Ave, Suite 500, Grand Forks, ND 58201-4754

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