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Edgewood Slc Ut02 LLC

Assisted Living Facility in Salt Lake City, UT · enumerated 2026 · authorized official John Dybwad, Vp Finance/Budget.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053245738

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Registry record

Entity type Organization (Type 2)
Legal business name Edgewood Slc Ut02 LLC
Practice address 5524 W 6200 S, Salt Lake City, UT, 84118
Phone (801) 840-4600
Enumeration date Jun 9, 2026
Last updated in NPPES Jun 11, 2026

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name John Dybwad
Title Vp Finance/Budget
Phone (701) 738-2000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Edgewood Slc Ut02 LLC?
The NPI for Edgewood Slc Ut02 LLC is 1053245738, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Edgewood Slc Ut02 LLC?
NPPES lists John Dybwad (Vp Finance/Budget) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-11.