Caringedge Healthcare of Hermantown LLC
Organization Active NPI Home Health Agency · Hermantown, MN
NPI 1679078604 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1679078604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CARINGEDGE HEALTHCARE OF HERMANTOWN LLC
- Practice address
- 4195 Westberg Rd
Hermantown, MN 55811-2950 - Phone
- (218) 216-7243
- NPI assigned
- Mar 30, 2018
- Organization subpart
- No
Authorized official
- Name
- Angela Hilleshiem, RN
- Title
- President
- Phone
- (208) 473-2717
Facilities with the same owner 8
Affiliated clinicians 6
-
Veronica Lynn Carson, GNP-BG
-
Laura Anne Enright, CNP
-
Jessica Gerard, FNP
-
Hannah Justine Nordskog, APRN, CNP
-
Anna Rosenberg, FNP
Medicare Care Compare: Home health agency
- Listed as
- Caringedge Healthcare of Hermantown LLC
- Overall star rating
- ★★★☆☆ 2.5 of 5
- Ownership
- Proprietary
- Certified
- Apr 30, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Home health agency certification: CCN 248157
- Legal name
- CARINGEDGE HEALTHCARE OF HERMANTOWN LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 30, 2020
- Last certification
- Apr 30, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 7, 2017 in MN
- Enrollment address
- 4195 Westberg Rd
Hermantown, MN 55811-2950
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Angela Hilleshiem |
5% Or Greater Indirect Ownership Interest | Dec 31, 2025 | 5% |
| Philip Gisi |
5% Or Greater Indirect Ownership Interest | Dec 31, 2025 | 95% |
| Jill Wilson |
Operational/Managerial Control |
Nov 1, 2025 | 100% |
| Heidi Williams |
W-2 Managing Employee | Nov 1, 2025 | |
| Edgewood Op Co LLC |
5% Or Greater Direct Ownership Interest | Dec 31, 2025 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181016003760 | MN | Part a Provider - Home Health Agency | 2961754122 | Practice locations: Hermantown, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
4195 Westberg Rd
Hermantown, MN 55811-2950
Mailing address
322 Demers Ave
Grand Forks, ND 58201-4754
Phone (701) 738-2000
Other providers in Hermantown, MN
- Amanda Buchanan
- Brittnee Rae Budde
- Alexander J Burrwig
- Mallory Buttrick
- Vanessa Rose Carey
- Caringedge Hospice of Hermantown LLC
- Michelle L Carl
- Darlene Evelyn Carlson
- Tayva Grace Carruthers
- Veronica Lynn Carson
All providers in Hermantown, MN · Home Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.