The Edge Community Church of Suisun

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

THE EDGE COMMUNITY CHURCH OF SUISUN

Doing business as

Solano Dream Center

Practice address

2166 Sacramento St
Vallejo, CA 94590-3126

Phone

(707) 435-3995

NPI assigned

Aug 7, 2023

Organization subpart

Yes

Parent organization

THE EDGE COMMUNITY CHURCH OF SUISUNAs reported in NPPES

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

Authorized official

Name

Germaine Luciano, BA

Title

Executive Admin

Phone

(707) 438-8213

Specialties & licenses 4

Addresses

Other names 1

• Solano Dream Center Doing business as

Part of

The Edge Community Church of Suisun

Locations

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1508549668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2404",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945855404",
            "telephone_number": "707-438-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 SACRAMENTO ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903126",
            "telephone_number": "707-435-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EDGE COMMUNITY CHURCH OF SUISUN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE EDGE COMMUNITY CHURCH OF SUISUN",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "LUCIANO",
        "authorized_official_first_name": "GERMAINE",
        "authorized_official_title_or_position": "EXECUTIVE ADMIN",
        "authorized_official_telephone_number": "707-438-8213",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solano Dream Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Voluntary or Charitable Agency in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.