EDGEWATER GOLF INC
NPI 1649884123
Transportation Broker in Minerva, OH

Active since September 02, 2020
2401 FOX AVE SE, MINERVA, OH 44657(330) 771-4830(330) 862-2510 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edgewater Golf Inc NPPES

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

EDGEWATER GOLF INC (NPI 1649884123), doing business as Green Wolf Transportation, is a healthcare organization registered as a transportation broker in Minerva, Ohio and active in the NPI registry since September 2020. The organization lists Diane M Simms, President, as its authorized official.

NPPES Registry Identity

NPI1649884123
Entity TypeOrganization
Primary Taxonomy347E00000X
Legal Business NameEDGEWATER GOLF INC
Location Address2401 FOX AVE SEMinerva, OH 44657-9146
Mailing Address2401 Fox Ave SeMinerva, OH 44657-9146 · (330) 771-4830 · Fax (330) 862-2510
Fax(330) 862-2510
Organization SubpartYesParent: Edgewater Golf Inc.
Authorized OfficialDiane M SimmsPresident · (330) 771-4830
Enumeration DateSeptember 2, 2020
NPPES CertifiedSeptember 2, 2020
NPI 1649884123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTransportation BrokerTransportation Services
Taxonomy Code347E00000X
Definition

An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.

2401 FOX AVE SE, Minerva, OH 44657

Other Names 1

Doing Business AsGreen Wolf Transportation

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Transportation Broker
2401 FOX AVE SE
MINERVA, OH 44657

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 Edgewater Golf Inc's NPI number?

The NPI number for Edgewater Golf Inc is 1649884123. It was assigned to this organization in the NPPES registry on September 2, 2020. The provider is doing business as Green Wolf Transportation.

Where is Edgewater Golf Inc located?

Edgewater Golf Inc is located at 2401 Fox Ave SE, Minerva, OH 44657. The listed phone number is (330) 771-4830.

What is Edgewater Golf Inc's specialty?

The primary specialty registered for this NPI is Transportation Broker with taxonomy code 347E00000X.

When was this NPI record last updated?

The NPPES record for Edgewater Golf Inc was last updated on September 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.