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

Edgewood Virginia I Senior Living LLC

Organization Assisted Living Facility · NPI 1508040395

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

Licensed in
MN
In the registry since
2007
Specialties on file
3
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

705 17th St N
Virginia, MN 55792-2176
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 338389 (MN)
Assisted Living Facility Taxonomy 310400000X · Licence 338401 (MN)
Alzheimer Center (Dementia Center) Taxonomy 311500000X · Licence 338390 (MN)

Record details

NPI number1508040395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gene Hysjulien — Ceo · (701) 738-2000
NPI enumeratedDecember 28, 2007
Last updated in NPPESDecember 28, 2007
Mailing address2850 24th Ave S, Suite 201, Grand Forks, ND 58201-5831

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