Edgar Betancourt

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN447817 Issued in OH

Practice address

4861 W 12TH St
Cleveland, OH 44109-5610

Phone

(216) 374-8534

NPI assigned

Apr 14, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Enox Home Health LLC

  • Home Health Agency
  • Cleveland, OH
  • NPI 1689469827
  NPD Authorized official

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1639964091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4861 W 12TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441095610",
            "telephone_number": "216-374-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 W 12TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441095610",
            "telephone_number": "216-374-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "EDGAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN447817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Best, MD
• Alicia Ricquel Bester
• Ashley Bestgen, RD, LD, CNSC
• Anna Elizabeth Bestic, RD, LD
• Julia Katherine Bestor, PA-C
• Jessica Lee Betancourt
• Gregory M Beten, DDS
• Jamie L Beten, DDS
• Beth Shalom Ohio LLC
• Victoria Bethea

• Registered Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.