Edgewood Grand Island Senior Living

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

28D1060632 Issued in NE

Legal business name

EDGEWOOD GRAND ISLAND SENIOR LIVING

Practice address

214 N. Piper
Grand Island, NE 68803-4027

Phone

(308) 384-0717

Fax

(308) 384-0728

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Rex Carlson, CPA

Title

Chief Financial Officer

Phone

(701) 738-2000

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1285923631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N. PIPER",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034027",
            "telephone_number": "308-384-0717",
            "fax_number": "308-384-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N. PIPER",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034027",
            "telephone_number": "308-384-0717",
            "fax_number": "308-384-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD GRAND ISLAND SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "701-738-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NE",
            "license": "28D1060632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlea Eckert, RN
• Zoe Alena Eckert
• Linda Jean Ecklund
• Steve Blaine Ecklund, DDS
• Mark Edelman Jr.
• Cami Edwardson
• Tricia Edwardson
• Brigett Effenbeck, PA-C
• Lawrence Effiong
• Michael Allen Eigenberg, M.D.

• Alzheimer Center (Dementia Center) in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Alzheimer Center (Dementia Center) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.