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Edgewater Health Care, Inc.

Skilled Nursing Facility in Long Beach, CA · enumerated 2005 · authorized official Marc Johnson, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629053913

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Registry record

Entity type Organization (Type 2)
Legal business name Edgewater Health Care, Inc.
Other name <Unavail>
Practice address 2625 E 4th St, Long Beach, CA, 90814
Phone (949) 240-2423
Enumeration date Dec 9, 2005
Last updated in NPPES Apr 5, 2024

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 940000058 (CA) Primary

Authorized official

Name Marc Johnson
Title Cfo
Phone (949) 373-8373

Other identifiers

Identifier Type State Issuer
ZZT05387I Medicaid CA -

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.

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Frequently asked questions

What type of organization is Edgewater Health Care, Inc.?
Edgewater Health Care, Inc. is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-05.