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Edgewood Blaine LLC

Assisted Living Facility in Blaine, MN · enumerated 2014 · authorized official Ronald Whetter, Vp of Finance/Budget.

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

National Provider Identifier

1396167953

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Registry record

Entity type Organization (Type 2)
Legal business name Edgewood Blaine LLC
Practice address 12450 Cloud Dr Ne, Blaine, MN, 55449
Phone (763) 754-1723
Fax (763) 754-1728
Enumeration date Jan 15, 2014
Last updated in NPPES Jan 15, 2014

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 29941 (MN) Secondary
310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 29791 (MN) Primary

Authorized official

Name Ronald Whetter
Title Vp of Finance/Budget
Phone (701) 757-5465

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-01-15. Verify at npiregistry.cms.hhs.gov.
Where is Edgewood Blaine LLC located?
The practice location on file with NPPES is in Blaine, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-15.