Edmisten Corp

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EDMISTEN CORP

Doing business as

SYNERGY HomeCare of Orange

Practice address

1748 W Katella Ave Ste 205
Orange, CA 92867-3430

Phone

(714) 253-3536

Fax

(714) 421-4705

NPI assigned

May 8, 2023

Last updated

Oct 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammie Mare Edmisten

Title

Vice President

Phone

(714) 253-3536

Specialties & licenses 1

Addresses

Other names 1

• SYNERGY HomeCare of Orange Doing business as

Locations

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1609566223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 W KATELLA AVE STE 205",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928673430",
            "telephone_number": "714-253-3536",
            "fax_number": "714-421-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 W KATELLA AVE STE 205",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928673430",
            "telephone_number": "714-253-3536",
            "fax_number": "714-421-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMISTEN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "EDMISTEN",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "MARE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-253-3536"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNERGY HomeCare of Orange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Eckstein
• Faith Edano
• Carol Eddy, MA, MFT
• Christine Ann Eder
• William L. Edkins, PSY.D.
• Douglas Keith Edmondson
• Kyle Brandon Edquist, B.A. PSYCHOLOGY
• Defranco Esteban Edrei
• Dione Edrosolano
• Tamara Lynne Edson, OTR/L

• In Home Supportive Care Agency in Orange, CA
• Providers in Orange, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.