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

Edgewood Hermantown I Senior Living LLC

Organization Assisted Living Facility · NPI 1609050442

Edgewood Hermantown I Senior Living LLC is an Assisted Living Facility in Hermantown, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4195 Westberg Rd
Hermantown, MN 55811-3916
Phone: (701) 738-2000
Fax: (701) 738-2001
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 338403 (MN)

Record details

NPI number1609050442
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ron Whetter — Vp Budget And Finance · (701) 738-2000
NPI enumeratedDecember 27, 2007
Last updated in NPPESMay 26, 2011
Mailing address2850 24th Ave S, Suite 201, Grand Forks, ND 58201-5831

Other providers in Hermantown