Edgewood Bullhead City Az01 LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EDGEWOOD BULLHEAD CITY AZ01 LLC

Practice address

2995 Desert Sky Blvd
Bullhead City, AZ 86442-8855

Phone

(928) 582-9271

NPI assigned

Jun 11, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Dybwad

Title

VP Finance/Budget

Phone

(701) 738-2000

Specialties & licenses 1

Addresses

Other names 1

• Avista Senior Living Joshua Springs Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1013841337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13238",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582083238",
            "telephone_number": "701-738-2000",
            "fax_number": "701-738-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 DESERT SKY BLVD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428855",
            "telephone_number": "928-582-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD BULLHEAD CITY AZ01 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "DYBWAD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP FINANCE/BUDGET",
        "authorized_official_telephone_number": "701-738-2000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avista Senior Living Joshua Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gailand Ruth Drawhorn, PH.D., DMIN., MED.
• Josiah B Drawhorn, PH.D., N.D., TH.D.
• Jacqueline Celina Drummond-Lewis, MD
• Mykal Duncan, PTA
• Maria Dunn
• Entx Solutions LLC
• Euthymia, Inc.
• Scott Edward Ewing, FNP-BC
• Exceptional Health Care Bullhead City LLC
• Exceptional Physicians Group Bullhead City Hospital PLLC

• Assisted Living Facility in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.