EDGECO, LLC (NPI# 1609034289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609034289 |
| Entity Type | Organization |
| Organization Name | EDGECO, LLC |
| Other Organization Name | HEAVEN & EARTH WELLNESS CENTER |
| Practice Address |
108 Tandberg Trl Windham ME 04062-5206 |
| Mailing Address |
Po Box 2048 Windham ME 04062-2048 |
| Practice Telephone | 2078930033 |
| Practice Fax Number | 2078931211 |
| Mailing Telephone | 2078930033 |
| Mailing Fax Number | 2078931211 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2012-06-15 |
| Authorized Official Name | MS. MAURA MALIA (OWNER) |
| Authorized Official Telephone | 2078930033 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Heaven & Earth Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | EDGECO, LLC | 1453 Brickyard Rd, Golden, CO 80403 |
| Street Address |
108 TANDBERG TRL |
| City | WINDHAM |
| State | ME |
| Zip Code | 04062-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
| 1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
| 1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
| 1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
| 1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
| 1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
| 1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| Find all providers in zip 04062 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368492 | Dale A Tuccelli | Massage Therapist | 58 Range Rd Ste R03, Windham, NH 03087-2026 | 2020-08-28 |
| 1346880754 | Amanda Mae Thomes | Massage Therapist | 936 Roosevelt Trl Ste 2, Windham, ME 04062-5652 | 2020-01-14 |
| 1043712169 | Siobhan Marie Raymond | Massage Therapist | 936 Roosevelt Trl Unit 2, Windham, ME 04062-5652 | 2018-03-05 |
| 1881138519 | Dianne Jezak | Massage Therapist | 16 Londonderry Rd, Windham, NH 03087-1651 | 2016-12-14 |
| 1174914709 | Julia Antonia Donaldson | Massage Therapist | 9 Frog Pond Rd, Windham, ME 04062-6800 | 2015-02-18 |
| 1669738860 | Lynn Priest | Massage Therapist | 824 Roosevelt Trl, Suite 5, Windham, ME 04062-5370 | 2012-04-02 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1053428151 | Clifford W Korn | Massage Therapist | 87 Indian Rock Road, Windham, NH 03087-1656 | 2006-08-24 |
| 1023515145 | Monica Doble | Massage Therapist | 60 Rockingham Rd Unit 10, Windham, NH 03087-1343 | 2018-04-06 |
| 1295011849 | Katie A Stangel | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2011-10-27 |
| Find all providers in WINDHAM | ||||
Please comment or provide details below to improve the information on EDGECO, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.