Edj LLC
Edj LLC is a healthcare organization registered as Skilled Nursing Facility in Youngstown, OH, holding Type 2 (organization) NPI 1053308577 since 2005. The authorized official on file is Diane Reese, Member/Adminastrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053308577 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Edj LLC |
| Other name | <Unavail> |
| Practice address | 461 S CANFIELD NILES RD, Youngstown, OH, 44515 |
| Phone | 3302703468 |
| Enumeration date | 2005-09-30 |
| Last updated in NPPES | 2020-09-21 |
Authorized official
| Name | Diane Reese |
|---|---|
| Title | Member/Adminastrator |
| Phone | 3302703468 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Secondary | 0607R | OH |
| 314000000X | Skilled Nursing Facility | Primary | 0607N | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2438124 | Medicaid | OH | — |
| 000000324070 | Other | OH | ANTHEM |
| 157021763 | Other | OH | MEDICAID ASSISTANT LIVING WAIVER |
Copy-ready billing details
Provider: Edj LLC NPI: 1053308577 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 461 S CANFIELD NILES RD, Youngstown, OH, 44515
Verify this record
Cross-check NPI 1053308577 against the authoritative CMS record: view Edj LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Edj LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-09-21.