MRC Edgewater

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

808305 Issued in TX

Legal business name

MRC EDGEWATER

Practice address

2228 Seawall Blvd
Galveston, TX 77550-8940

Phone

(409) 763-6437

Fax

(409) 765-6551

NPI assigned

Jul 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard M Berman

Title

Chief Financial Officer

Phone

(281) 363-2600

Specialties & licenses 1

Addresses

Other names 1

• Edgewater Home Health Services Doing business as

Tax ID family

Edgewater Home Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• MRC Edgewater

  • Skilled Nursing Facility
  • Galveston, TX
  • NPI 1831199579
  NPD tax ID

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740280486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 SEAWALL BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775508940",
            "telephone_number": "409-763-6437",
            "fax_number": "409-765-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 SEAWALL BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775508940",
            "telephone_number": "409-763-6437",
            "fax_number": "409-765-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRC EDGEWATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "281-363-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "808305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewater Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prasant Moturu
• Jerry Ernest Mount, M.D.
• Addi Nicolas Moya, MD
• Amy Ann Mrazek, M.D., PH.D.
• MRC Edgewater
• MRC Edgewater
• Amir Nidal Mubarak Zeid, MD
• Aisha Ruth Mujahideen
• Shraddha Siddharth Mukerji, MD
• Patrick Muldowney, PA, PHD

• Home Health Agency in Galveston, TX
• Providers in Galveston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.