Active NPI
Edgemon & Associates, Inc
- Home Health Agency
- St. Cloud, FL
National Provider Identifier
1245565811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299992363
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005587600 | Medicaid | FL |
Other names 1
- Comfort Keepers
National Provider Directory
National Provider DirectoryLocations
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.