EDGEWATER PLACE, INC. (NPI# 1558690503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558690503 |
| Entity Type | Organization |
| Organization Name | EDGEWATER PLACE, INC. |
| Other Organization Name | EDGEWATER ASSISTED LIVING LLC DBA EDGEWATER PLACE ASSISTED LI |
| Practice Address |
11351 Lafayette Plain City Road Plain City OH 43064 |
| Practice Telephone | 6148739700 |
| Practice Fax Number | 6148739770 |
| Mailing Telephone | 6148739700 |
| Mailing Fax Number | 6148739770 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | MS. SANDRA K HARRIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6148739700 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 2546R | OH | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Edgewater Assisted Living LLC DBA Edgewater Place Assisted Li | Former Legal Business Name - Organization |
| Street Address |
11351 LAFAYETTE PLAIN CITY ROAD |
| City | PLAIN CITY |
| State | OH |
| Zip Code | 43064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386098143 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 7300 Sr 161, Plain City, OH 43064 | 2016-04-19 |
| 1043664808 | Costco Wholesale Corporation | Pharmacy | 7300 State Route 161 E, Plain City, OH 43064 | 2016-04-19 |
| 1346600855 | Meng Tong | Dentist | 7458 State Route 161 E, Plain City, OH 43064 | 2016-02-25 |
| 1912300302 | Precision Labs, LLC | Clinical Medical Laboratory | 8150 Us Highway 42 N, Plain City, OH 43064 | 2014-09-30 |
| 1477977783 | Kim Barrett | Occupational Therapist | 9200 Us Route 42 S, Plain City, OH 43064 | 2014-02-06 |
| 1689095242 | Debra Wilcox | Registered Nurse | 8150 State Route 42, Suite B, Plain City, OH 43064 | 2013-12-30 |
| 1457657512 | Township of Jerome | Ambulance | 9689 Us Rt 42 North, Plain City, OH 43064 | 2011-02-07 |
| 1841230075 | Advanced Eyecare & Sports Vision Center, Inc. | Optometrist | 302 West Main St., Ste 100, Plain City, OH 43064 | 2006-06-07 |
| 1255988473 | Morgan Oates | Speech-Language Pathologist | 9200 Us Route 42 S, Plain City, OH 43064 | 2019-08-22 |
| 1164876934 | Costco Wholesale Corporation | Hearing Aid Equipment | 7300 Sr 161, Plain City, OH 43064 | 2016-04-19 |
| Find all providers in zip 43064 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487899 | Nancy Lee Ward | Assisted Living Facility | 15069 Matville Rd, Orient, OH 43146-9725 | 2020-11-04 |
| 1235738014 | Country Living | Assisted Living Facility | 13028 Us Highway 52, West Portsmouth, OH 45663-8909 | 2020-10-22 |
| 1982203378 | Anna Robinson | Assisted Living Facility | 626 W Judson Ave, Youngstown, OH 44511-3256 | 2020-10-18 |
| 1568060549 | The Inn H Ashland Woods Management Company LLC | Assisted Living Facility | 1050 Dauch Dr., Ashland, OH 44805 | 2020-10-13 |
| 1639783673 | Majestic Care Fairfield Assisted Living LLC | Assisted Living Facility | 5251 Dixie Hwy, Fairfield, OH 45014-3036 | 2020-09-08 |
| 1568075778 | Transparent Care LLC | Assisted Living Facility | 7791 Heathermoor Dr, Columbus, OH 43235-4568 | 2020-08-26 |
| 1649891151 | The Pines Alf Inc. | Assisted Living Facility | 18144 Claridon Troy Rd, Hiram, OH 44234-9698 | 2020-05-06 |
| 1982238754 | Jennings Center for Older Adults | Assisted Living Facility | 10950 Pinegrove Trl, Chardon, OH 44024-8389 | 2020-03-02 |
| 1881228211 | Ashford of Grove City, LLC | Assisted Living Facility | 3197 Southwest Blvd, Grove City, OH 43123-2349 | 2020-02-25 |
| 1326671827 | With Grace, LLC | Assisted Living Facility | 20129 Scottsdale Blvd, Shaker Heights, OH 44122-6460 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | PLAIN CITY |
| Zip Code | 43064 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.