OrganizationActive
Edgewater Golf Inc
NPI 1649884123 · Transportation Broker · Minerva, OH
Edgewater Golf Inc is a Transportation Broker organization in Minerva, OH (NPI 1649884123).
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(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Frequently asked questions
- What is Edgewater Golf Inc's NPI number?
- Edgewater Golf Inc's National Provider Identifier (NPI) is 1649884123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edgewater Golf Inc?
- Edgewater Golf Inc is classified in the NPPES registry as Transportation Broker (Transportation Services).
- Where is Edgewater Golf Inc located?
- Edgewater Golf Inc's practice location on file with NPPES is 2401 Fox Ave Se, Minerva, OH 44657-9146.
- What is Edgewater Golf Inc's phone number?
- The practice phone number listed in the NPPES registry for Edgewater Golf Inc is (330) 771-4830.
- Who is the authorized official for Edgewater Golf Inc?
- The authorized official listed on Edgewater Golf Inc's NPPES record is Diane Simms, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edgewater Golf Inc's NPI active?
- Yes — Edgewater Golf Inc's NPI (1649884123) is active in the NPPES registry as of the last update on 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.