NPIMap

Organization Active NPI

Edimar, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Lehigh Acres, FL
National Provider Identifier
1215302930
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
770443536 Issued in FL
Legal business name
EDIMAR, INC.
Practice address
42 Abaco St
Lehigh Acres, FL 33936-7111
Phone
(239) 738-8038
NPI assigned
Dec 7, 2015
Last updated
Dec 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Maria Reyes
Title
Ceo
Phone
(239) 738-8038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 770443536 FL Primary

Addresses

Primary practice location

42 Abaco St
Lehigh Acres, FL 33936-7111

Mailing address

42 Abaco St
Lehigh Acres, FL 33936-7111
Phone (239) 738-8038

National Provider Directory

National Provider Directory
Tax ID family
Edimar Group Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1215302930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 ABACO ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339367111",
            "telephone_number": "239-738-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 ABACO ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339367111",
            "telephone_number": "239-738-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIMAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-738-8038"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "770443536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.