Edimar Group Home

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EDIMAR GROUP HOME

Practice address

42 Abaco St
Lehigh Acres, FL 33936-7111

Phone

(239) 738-8038

NPI assigned

Jun 15, 2016

Organization subpart

No

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

Authorized official

Name

Maria Reyes

Title

Director

Phone

(239) 738-8038

Specialties & licenses 1

Addresses

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.

• Edimar, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Lehigh Acres, FL
  • NPI 1215302930
  NPD tax ID

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1376993873",
    "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 GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "239-738-8038"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flavia Echevarria Salazar
• Arianna Echevarria
• Raquel Echezabal Gutierrez
• Roxana Echezabal
• Judith Marie Echols, LMT
• Edimar, Inc.
• El Shaddai Care Community
• Ahmed El-Gendy, MBA,RPSGT,RST,CCSH
• Alaa A El-Gendy, MD, M.SC., FCCP
• Maribel Elias

• In Home Supportive Care Agency in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.