Edon Healthcare Services, Inc.

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

EDON HEALTHCARE SERVICES, INC.

Practice address

436 Girard St
104
Gaithersburg, MD 20877-3303

Phone

(301) 740-9891

Fax

(301) 740-9892

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Amelia Zeck

Title

Founder/Ceo&Assisted Living Manager

Phone

(301) 740-9891

Specialties & licenses 1

Addresses

Other names 1

• edon Residentail and Rescare Services Former legal business name

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1760665293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 GIRARD ST",
            "address_2": "104",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773303",
            "telephone_number": "301-740-9891",
            "fax_number": "301-740-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 GIRARD ST",
            "address_2": "104",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773303",
            "telephone_number": "301-740-9891",
            "fax_number": "301-740-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDON HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "ZECK",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "FOUNDER/CEO&ASSISTED LIVING MANAGER",
        "authorized_official_telephone_number": "301-740-9891",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "edon Residentail and Rescare Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility (Behavioral Disturbances) in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Assisted Living Facility (Behavioral Disturbances) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.