Edj LLC
NPI 1053308577ActiveOrganization· Skilled Nursing Facility· Youngstown, OH
Skilled Nursing Facility in Youngstown, Ohio, registered in NPPES in September 2005. The authorized official on file is Diane J. Reese, Member/Adminastrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1053308577 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2005 |
| Last updated in NPPES | Sep 21, 2020 |
| Certified by provider | Sep 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 0607N | OH |
| Assisted Living Facility | 310400000X | 0607R | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (OH) |
|---|
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