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

Edgewood Vista Senior Living Inc

Organization Assisted Living Facility · NPI 1548313992

Edgewood Vista Senior Living Inc is an Assisted Living Facility in Spearfish, South Dakota. Licensed in South Dakota. Registered with an NPI since 2007.

Licensed in
SD
In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

540 Falcon Crest Dr
Spearfish, SD 57783-3255
Phone: (605) 642-2977
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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 · Licence 11073 (SD)
Assisted Living Facility Taxonomy 310400000X · Licence 49736 (SD)
Alzheimer Center (Dementia Center) Taxonomy 311500000X · Licence 49736 (SD)
Alzheimer Center (Dementia Center) Taxonomy 311500000X · Licence 11073 (SD)

Record details

NPI number1548313992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Wagner — Accounts Receivable Clerk · (701) 738-2000
NPI enumeratedJanuary 19, 2007
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 13336, 2450 24th Ave S Suite 201, Grand Forks, ND 58208-3336

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