NPIMap

Organization Active NPI

Edgeco, LLC

Doing business as Heaven & Earth Wellness Center

  • Massage Therapist
  • Windham, ME
National Provider Identifier
1609034289
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
EDGECO, LLC
Doing business as
Heaven & Earth Wellness Center
Practice address
108 Tandberg TRL
Windham, ME 04062-5206
Phone
(207) 893-0033
Fax
(207) 893-1211
NPI assigned
May 30, 2008
Last updated
Jun 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Ms. Maura Malia, LMT
Title
Owner
Phone
(207) 893-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X ME Primary

Addresses

Primary practice location

108 Tandberg TRL
Windham, ME 04062-5206

Mailing address

PO Box 2048
Windham, ME 04062-2048
Phone (207) 893-0033

Other names 1

  • Heaven & Earth Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edgeco LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1609034289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2048",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040622048",
            "telephone_number": "207-893-0033",
            "fax_number": "207-893-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 TANDBERG TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625206",
            "telephone_number": "207-893-0033",
            "fax_number": "207-893-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGECO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "MALIA",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-893-0033",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heaven & Earth Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.