OrganizationActive
Edgewater Golf Inc
NPI 1649884123 · Transportation Broker · Minerva, OH
Provider details
- NPI number
- 1649884123
- Entity type
- Organization
- Primary specialty
- Transportation BrokerTransportation Services
- Parent organization
- Edgewater Golf Inc.
- Organization subpart
- Yes
- Authorized official
- Diane Simms, President(330) 771-4830
Specialties & taxonomies
Transportation Services
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2401 Fox Ave Se
Minerva, OH 44657-9146
Phone: (330) 771-4830
Fax: (330) 862-2510
Street-level locationGet directions
Mailing address
2401 Fox Ave Se
Minerva, OH 44657-9146
Other names (DBA / former)
- Doing business as
- Green Wolf Transportation
Registry dates
- Enumerated
- 2020-09-02
- Last updated
- 2020-09-02
- Certified
- 2020-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.