Organization Active NPI

The LD Edge Network

  • Voluntary or Charitable Agency
  • Cleveland, OH
National Provider Identifier
1417430455
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
THE LD EDGE NETWORK
Practice address
3389 Fulton Rd
Cleveland, OH 44109-1463
Phone
(216) 870-1432
NPI assigned
Sep 14, 2018
Last updated
Sep 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Holly Lynn Roe
Title
Founder/Executive Director
Phone
(216) 870-1432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

3389 Fulton Rd
Cleveland, OH 44109-1463

Mailing address

3389 Fulton Rd
Cleveland, OH 44109-1463
Phone (216) 870-1432

National Provider Directory

National Provider Directory

Locations

3389 Fulton Rd
Cleveland, OH 44109
Phone (216) 584-5683

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1417430455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3389 FULTON RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091463",
            "telephone_number": "216-870-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3389 FULTON RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091463",
            "telephone_number": "216-870-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LD EDGE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-870-1432"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.