Edj Llc is a Skilled Nursing Facility in Youngstown, Ohio. Edj Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Edj Llc is 1053308577. The last update date is 2020-09-21.
Edj Llc's current location address is 461 S Canfield Niles Rd, Youngstown, Ohio. You can contact this provider via phone number 3302703468. The mailing address for Edj Llc is 461 S Canfield Niles Rd, Youngstown, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edj Llc |
|---|---|
| Address | 461 S Canfield Niles Rd, Youngstown, Ohio |
| Phone Number | 3302703468 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER/ADM |
|---|---|
| Authorized Official Name | Reese J Diane |
| Telephone Number | 3302703468 |
NPI Number Detail
| NPI Number | 1053308577 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2020-09-21 |
Provider Mailing Address Detail
| Address | 461 S Canfield Niles Rd |
|---|---|
| City | Youngstown |
| State | Ohio (OH) |
| Post Code | 445154022 |
| Phone Number | 3302703468 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 0607N |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2438124 | OH | -- | |
| 324070 | OH | ANTHEM | |
| 157021763 | OH | MEDICAID ASSISTANT LIVING WAIV |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Edj Llc by the Centers for Medicare & Medicaid Services?
The Edj Llc has been issued the NPI (National Provider Identifier) 1053308577, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Edj Llc's physical address?
The Edj Llc is physically located at 461 S Canfield Niles Rd, in the city of Youngstown, OH, with the postal code 445154022.
What is the Edj Llc's area of specialization and corresponding taxonomy classification?
The Edj Llc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.
On what date was the 1053308577 assigned to Edj Llc?
The Edj Llc was issued its 1053308577 on 2005-09-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Edj Llc most recently updated?
The details pertaining to the Edj Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-09-21.