EDGE HEALTH CARE AND MENTAL HEALTH SERVICES
NPI 1467201301
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Shoreview, MN

Q: What is Edge Health Care And Mental Health Services's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Active since May 14, 2024

157 GRASS LAKE PL APT 309, SHOREVIEW, MN 55126(763) 498-4448 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edge Health Care And Mental Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGE HEALTH CARE AND MENTAL HEALTH SERVICES (NPI 1467201301) is a healthcare organization registered as a substance abuse treatment, children in Shoreview, Minnesota and active in the NPI registry since May 2024. The organization lists Ekan Ekong, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1467201301

Entity TypeOrganization

Primary Taxonomy3245S0500X

Legal Business NameEDGE HEALTH CARE AND MENTAL HEALTH SERVICES

Location Address157 GRASS LAKE PL APT 309Shoreview, MN 55126-2063

Mailing Address157 Grass Lake Pl Apt 309Shoreview, MN 55126-2063 · (763) 498-4448

Phone(763) 498-4448

Organization SubpartNo

Authorized OfficialEkan EkongPmhnp-bc · (763) 498-4448

Enumeration DateMay 14, 2024

Last NPPES UpdateOctober 21, 2024

NPPES CertifiedOctober 21, 2024

✔ NPI 1467201301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities

Taxonomy Code3245S0500X

Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

157 GRASS LAKE PL APT 309, Shoreview, MN 55126

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edge Health Care And Mental Health Services's NPI number?

The NPI number for Edge Health Care And Mental Health Services is 1467201301. It was assigned to this organization in the NPPES registry on May 14, 2024.

Where is Edge Health Care And Mental Health Services located?

Edge Health Care And Mental Health Services is located at 157 Grass Lake Pl Apt 309, Shoreview, MN 55126. The listed phone number is (763) 498-4448.

What is Edge Health Care And Mental Health Services's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Edge Health Care And Mental Health Services was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.