Edgewood Convalescent Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0082 Issued in IA

Legal business name

EDGEWOOD CONVALESCENT HOME INC

Practice address

302 W Lincoln
Edgewood, IA 52042-0039

Phone

(563) 928-7173

Fax

(563) 928-6462

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Kristen Arthur

Title

Board Secretary/Treasurer

Phone

(563) 928-6461

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lincolnwood Assisted Living Doing business as

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

CLIA laboratory certificates

Tax ID family

Edgewood Convalescent Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Edgewood Convalescent Home Inc

  • Skilled Nursing Facility
  • Edgewood, IA
  • NPI 1215155544
  NPD tax ID
• Edgewood Convalescent Home, Inc.

  • Skilled Nursing Facility
  • Edgewood, IA
  • NPI 1497715494
  NPD tax ID

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1306064639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W LINCOLN ST",
            "city": "EDGEWOOD",
            "state": "IA",
            "postal_code": "520428735",
            "telephone_number": "563-928-7173",
            "fax_number": "563-928-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W LINCOLN",
            "city": "EDGEWOOD",
            "state": "IA",
            "postal_code": "520420039",
            "telephone_number": "563-928-7173",
            "fax_number": "563-928-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD CONVALESCENT HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "ARTHUR",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "BOARD SECRETARY/TREASURER",
        "authorized_official_telephone_number": "563-928-6461"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212076",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincolnwood Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Edgewood
• Delaware County Memorial Hospital
• Edgewood Convalescent Home Inc
• Edgewood Convalescent Home, Inc.
• Edgewood-Colesburg Community School District
• Family Medicine Associates PC
• Amy Lynn Gassmann, P.T.
• Guttenberg Municipal Hospital

• Assisted Living Facility in Edgewood, IA
• Providers in Edgewood, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.