Edgell Foster Home

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EDGELL FOSTER HOME

Practice address

5393 Secrest Rd
Wooster, OH 44691-8647

Phone

(330) 465-5980

NPI assigned

Dec 18, 2020

Organization subpart

No

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

Authorized official

Name

Jackie Edgell

Title

Ceo

Phone

(330) 465-5980

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1033705553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5393 SECREST RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446918647",
            "telephone_number": "330-465-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5393 SECREST RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446918647",
            "telephone_number": "330-465-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGELL FOSTER HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "EDGELL",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-465-5980"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Libbie Earnsberger, COTA
• John Christopher Easton, CDCA
• Adrianne Eaton
• Rebecca L Ebert, MS, CCC-SLP
• Rachel Edgar, FNP
• Brian J Edgell
• Roger Charles Edgington, R. PH.
• Rebecca L Edmondson, QMHS
• Darnell Larry Edwards, CDCA
• Joanna Edwards

• In Home Supportive Care Agency in Wooster, OH
• Providers in Wooster, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.