Edwards Ridecare Inc.

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

EDWARDS RIDECARE INC.

Practice address

7809 Southtown Ctr Unit 408
Bloomington, MN 55431-1324

Phone

(800) 674-9816

NPI assigned

Sep 29, 2023

Organization subpart

No

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

Authorized official

Name

Kevin A Spanbauer

Title

Chief Executive Officer

Phone

(952) 250-0836

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1649050402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 SOUTHTOWN CTR UNIT 408",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311324",
            "telephone_number": "800-674-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 SOUTHTOWN CTR UNIT 408",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311324",
            "telephone_number": "800-674-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS RIDECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "SPANBAUER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "952-250-0836"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Private Vehicle in Minnesota

• 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.