Organization Active NPI

Ed2Rn Home Health Agency

  • Registered Nurse
  • Pembroke Pines, FL
National Provider Identifier
1902541584
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
ED2RN HOME HEALTH AGENCY
Practice address
11623 SW 17TH St
Pembroke Pines, FL 33025-1700
Phone
(786) 873-4458
NPI assigned
Apr 28, 2022
Last updated
Apr 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Trameka Wade, RNNPI 1134864713
Title
Ceo
Phone
(786) 873-4458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU Primary
Home Health Registered Nurse 163WH0200X NU

Addresses

Primary practice location

11623 SW 17TH St
Pembroke Pines, FL 33025-1700

Mailing address

11623 SW 17TH St
Pembroke Pines, FL 33025-1700
Phone (786) 873-4458

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ed2nhomehealth@gmail.com Direct

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1902541584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 SW 17TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251700",
            "telephone_number": "786-873-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11623 SW 17TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251700",
            "telephone_number": "786-873-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED2RN HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "TRAMEKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-873-4458",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ed2nhomehealth@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11623 SW 17th St",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330251700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.