Edj Llc is a Skilled Nursing Facility based in Youngstown, OH. Edj Llc practices in Youngstown, OH. The NPI Number for Edj Llc is 1053308577 and holds a License No. 0607R (Ohio).
The current practice location address for Edj Llc is 461 S Canfield Niles Rd, Youngstown, OH and can be reached out via phone at 330-270-3468.
Location: 461 S Canfield Niles Rd, Youngstown, OH, 44515-4022
Provider Profile Details
NPI Number
1053308577
Provider Name
Edj Llc
Credential
Provider Entity Type
Organization
Address
461 S Canfield Niles Rd, Youngstown, OH, 44515-4022
Phone Number
330-270-3468
Fax Number
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2438124 | 05 | OH | |
| 000000324070 | 01 | OH | ANTHEM |
| 157021763 | 01 | OH | MEDICAID ASSISTANT LIVING WAIVER |
Provider Business Practice Location Address Details
Address
461 S Canfield Niles Rd
City
State
Zip
44515-4022
Phone Number
330-270-3468
Fax Number
Provider Business Mailing Address Details
Address
461 S Canfield Niles Rd
City
State
Zip
44515-4022
Phone Number
330-270-3468
Fax Number
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
0607N (Ohio)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
License No.
0607R (Ohio)
Definition
(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.
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