Individual provider Active NPI

Edna Mae Brimite

  • Nursing Home Administrator
  • Benton Harbor, MI
National Provider Identifier
1457263428
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
AS110420344 Issued in MI
Practice address
2472 Lawrence Dr
Benton Harbor, MI 49022-7932
Phone
(269) 325-5814
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X AS110420344 MI Primary

Addresses

Primary practice location

2472 Lawrence Dr
Benton Harbor, MI 49022-7932

Mailing address

2472 Lawrence Dr
Benton Harbor, MI 49022-7932
Phone (269) 325-5814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1457263428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 LAWRENCE DR",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490227932",
            "telephone_number": "269-325-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 LAWRENCE DR",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490227932",
            "telephone_number": "269-325-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMITE",
        "first_name": "EDNA",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "MI",
            "license": "AS110420344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.