Edgewater Transitions LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

EDGEWATER TRANSITIONS LLC

Practice address

141 E Main St
Morehead, KY 40351-1652

Phone

(606) 207-6617

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Jon Elam

Title

Owner

Phone

(606) 207-6617

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1871215129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1213",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403515213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E MAIN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511652",
            "telephone_number": "606-207-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWATER TRANSITIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-207-6617"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Randy Steele and Associates
• Kalon Durden, DC
• Earl C Wood MD PLLC
• Eastern Kentucky ABA Services
• Edgewater Recovery Center LLC
• Ek Clinic, LLC
• Ek Clinic, LLC
• Sandra Leigh Ellington, MS, RD, LD, CDE
• Emily Elliott
• Jeffrey L Ellis, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Morehead, KY
• Providers in Morehead, KY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.