EDGEWATER PLACE, INC. – NPI #1558690503
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Health Care Provider Taxonomy Code for Assisted Living Facility

EDGEWATER PLACE, INC. is an assisted living facility located in PLAIN CITY, OH. NPPES has assigned the NPI number 1558690503 to EDGEWATER PLACE, INC. on December 21, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is EDGEWATER ASSISTED LIVING LLC DBA EDGEWATER PLACE ASSISTED LI. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

The NPI profile was previously updated about 8 years ago on Jun 07, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDGEWATER PLACE, INC. below.

NPI Profile for
EDGEWATER PLACE, INC.

NPI Number
1558690503
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EDGEWATER PLACE, INC.
Former Legal Business Name: EDGEWATER ASSISTED LIVING LLC DBA EDGEWATER PLACE ASSISTED LI
Primary location
11351 LAFAYETTE PLAIN CITY ROAD
PLAIN CITY, OH 43064
Phone: (614) 873-9700 Fax: (614) 873-9770
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SANDRA HARRIS
EXECUTIVE DIRECTOR
Phone: (614) 873-9700
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)		 OH 2546R

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.