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

Edgewood Lakewood Mandan LLC

Organization In Home Supportive Care Agency · NPI 1386469021

Edgewood Lakewood Mandan LLC is an In Home Supportive Care Agency in Mandan, North Dakota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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

4401 21st St SE
Mandan, ND 58554-6425
Phone: (701) 738-2000
Fax: (701) 738-2001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1386469021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Dybwad — Vp Finance/Budget · (701) 738-2000
Other names Edgewood Healthcare; Edgewood Healthcare
NPI enumeratedNovember 18, 2024
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing addressPo Box 13238, Grand Forks, ND 58208-3238

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