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Edgewood Brainerd Senior Living LLC

Assisted Living Facility in Brainerd, MN · enumerated 2007 · authorized official Gene Hysjulien, Ceo.

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

National Provider Identifier

1205010147

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Registry record

Entity type Organization (Type 2)
Legal business name Edgewood Brainerd Senior Living LLC
Practice address 14890 Beaver Dam Rd, Brainerd, MN, 56401
Phone (701) 738-2000
Fax (701) 738-2001
Enumeration date Dec 27, 2007
Last updated in NPPES Dec 27, 2007

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 338402 (MN) Primary

Authorized official

Name Gene Hysjulien
Title Ceo
Phone (701) 738-2000

Other identifiers

Identifier Type State Issuer
338393 Medicaid MN -

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

Who is the authorized official for Edgewood Brainerd Senior Living LLC?
NPPES lists Gene Hysjulien (Ceo) as the authorized official for this organization.
What is the NPI number for Edgewood Brainerd Senior Living LLC?
The NPI for Edgewood Brainerd Senior Living LLC is 1205010147, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-27.