Edge Health Care And Mental Health Services

LBN: Edge Health Care And Mental Health Services
Edge Health Care And Mental Health Services is an health care organization with primary practice located at 157 Grass Lake Pl Apt 309 , Shoreview MN 55126-2063. The organization recently has 6 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Residential Treatment Facilities / Substance Abuse Treatment, Children, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Nursing & Custodial Care Facilities / Assisted Living, Mental Illness is the primary health care specialty. Edge Health Care And Mental Health Services can be contacted via phone (763) 498-4448, or through Ekong, Ekan via phone (763) 498-4448.

Contact Information

Primary practice address
157 Grass Lake Pl Apt 309 Shoreview MN 55126-2063
Phone: (763) 498-4448
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ekong, Ekan Nurse Practitioner (NP)
Phone: (763) 498-4448

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1467201301
LBN Legal business name Edge Health Care And Mental Health Services
DBA Doing business as
Authorized official Ekong, Ekan Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2024
Last updated May 14th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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