EDGEWOOD SUMMIT INC (NPI# 1750727145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750727145 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD SUMMIT INC |
| Practice Address |
300 Baker Ln Charleston WV 25302-2900 |
| Practice Telephone | 3043462323 |
| Practice Fax Number | 3043462352 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2014-02-13 |
| Authorized Official Name | MRS. DIANE GOUHIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3043462323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
300 BAKER LN |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25302-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114042256 | Teresa Lynn Morris | Speech-Language Pathologist | 300 Baker Ln, Charleston, WV 25302-2900 | 2007-03-20 |
| 1538795802 | Bobbi Conley | Occupational Therapy Assistant | 300 Baker Ln, Charleston, WV 25302-2900 | 2020-03-19 |
| 1063043321 | Hannah Chinn | Speech-Language Pathologist | 300 Baker Ln, Charleston, WV 25302-2900 | 2020-01-27 |
| 1811462658 | Jessica Leian Eastridge | Physical Therapist | 300 Baker Ln, Charleston, WV 25302-2900 | 2018-10-08 |
| 1922502673 | Ashley Nichole Trent | Occupational Therapy Assistant | 300 Baker Ln, Charleston, WV 25302-2900 | 2018-03-19 |
| 1477060465 | Jasmine Helena Courtney | Occupational Therapy Assistant | 300 Baker Ln, Charleston, WV 25302-2900 | 2017-12-29 |
| 1639562374 | Jigna A Patel | Occupational Therapy Assistant | 300 Baker Ln, Charleston, WV 25302-2900 | 2015-03-05 |
| 1528463924 | Karen Wendell | Physical Therapy Assistant | 300 Baker Ln, Charleston, WV 25302-2900 | 2014-10-28 |
| 1063755288 | Daniel Ward | Physical Therapy Assistant | 300 Baker Ln, Charleston, WV 25302-2900 | 2013-04-05 |
| 1912207838 | Megan Melissa Adams | Occupational Therapy Assistant | 300 Baker Ln, Charleston, WV 25302-2900 | 2010-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
| 1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
| 1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
| 1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
| 1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
| 1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
| 1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
| Find all providers in zip 25302 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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|---|---|---|---|---|
| 1972018026 | Wellmore of Daniel Island LLC | Skilled Nursing Facility | 580 Robert Daniel Drive, Charleston, SC 29492 | 2017-12-12 |
| 1578983417 | Cabell Health Care Center, LLC | Skilled Nursing Facility | 240 Capitol St, Suite 500, Charleston, WV 25301-2221 | 2014-04-18 |
| 1598890519 | White Oak Manor Inc | Skilled Nursing Facility | 9285 Medical Plaza Dr, Charleston, SC 29406-9126 | 2007-02-22 |
| 1326135500 | Thi of South Carolina At Charleston, LLC | Skilled Nursing Facility | 2375 Baker Hospital Blvd, Charleston, SC 29405-8233 | 2006-10-07 |
| 1962447037 | Health Care and Retirement Corporation of America LLC | Skilled Nursing Facility | 3819 Chesterfield Ave, Charleston, WV 25304-2647 | 2006-06-20 |
| 1003851940 | West Ashley Rehabilitation and Nursing Center-charleston Sc LLC | Skilled Nursing Facility | 1137 Sam Rittenberg Blvd, Charleston, SC 29407-3360 | 2006-06-17 |
| 1306887344 | Hr of Charleston, Inc. | Skilled Nursing Facility | 1000 Association Dr, North Gate Business Park, Charleston, WV 25311-1270 | 2006-06-09 |
| 1639126436 | Hilltop Nursing Home, Inc | Skilled Nursing Facility | 910 W Polk Ave, Charleston, IL 61920-1707 | 2006-05-27 |
| 1437116290 | Trinity Mission of Charleston, LLC | Skilled Nursing Facility | 2230 Ashley Crossing Dr, Charleston, SC 29414-5700 | 2006-04-26 |
| 1013978675 | Prairie View Care Center of Charleston, Inc. | Skilled Nursing Facility | 716 18th St, Charleston, IL 61920-2382 | 2006-03-31 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25302 |
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| 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.