Organization Active NPI

Edgemon & Associates, Inc

  • Home Health Agency
  • St. Cloud, FL
National Provider Identifier
1245565811
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992363 Issued in FL
Legal business name
EDGEMON & ASSOCIATES, INC
Practice address
2521 13TH Street
Suite F
St. Cloud, FL 34769
Phone
(407) 891-8884
Fax
(407) 957-7800
NPI assigned
Oct 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Mrs. Sonya Edgemon-Smith
Title
President
Phone
(407) 891-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992363 FL Primary

Addresses

Primary practice location

2521 13TH Street
Suite F
St. Cloud, FL 34769

Mailing address

2521 13TH Street
Suite F
St. Cloud, FL 34769
Phone (407) 891-8884

Other identifiers 1

IdentifierTypeStateIssuer
005587600MedicaidFL

Other names 1

  • Comfort Keepers Doing business as

National Provider Directory

National Provider Directory

Locations

2521 13th St
Ste F
Saint Cloud, FL 34769
Phone (407) 841-1310

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1245565811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 13TH STREET",
            "address_2": "SUITE F",
            "city": "ST. CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-891-8884",
            "fax_number": "407-957-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 13TH STREET",
            "address_2": "SUITE F",
            "city": "ST. CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-891-8884",
            "fax_number": "407-957-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEMON & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "EDGEMON-SMITH",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-891-8884",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005587600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.