Active NPI
Edgeco LLC
- Specialist
- Windham, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT2289
- Legal business name
- EDGECO LLC
- Practice address
- 108 Tandburg Trail
Windham, ME 04062 - Phone
- (207) 893-0033
- NPI assigned
- Jun 11, 2008
- Last updated
- Jun 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maura Edgecomb
- Title
- Owner
- Phone
- (207) 893-0033
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT2289 | ME | Primary |
Addresses
Primary practice location
108 Tandburg Trail
Windham, ME 04062
Mailing address
PO Box 2048
Windham, ME 04062-2048
Phone (207) 893-0033
Other names 1
- Heaven & Earth Wellness Center
National Provider Directory
National Provider Directory- Tax ID family
- Edgeco LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Heaven & Earth Day Spa and Wellness Center
- Massage Therapist
- Windham, ME
- NPI 1366689986
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Windham, ME
- NPI 1154564706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1902066277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2048",
"city": "WINDHAM",
"state": "ME",
"postal_code": "040622048",
"telephone_number": "207-893-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 TANDBURG TRAIL",
"city": "WINDHAM",
"state": "ME",
"postal_code": "04062",
"telephone_number": "207-893-0033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDGECO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "EDGECOMB",
"authorized_official_first_name": "MAURA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-893-0033"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "MT2289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heaven & Earth Wellness Center",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Windham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.