OrganizationActive
Edgewood Nursing Center Inc
NPI 1962404905 · Skilled Nursing Facility · Jacksonville, FL
Provider details
- NPI number
- 1962404905
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Hagan, President(770) 993-4000
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1771 Edgewood Ave W
Jacksonville, FL 32208-3278
Phone: (904) 766-7436
Fax: (904) 766-5749
Street-level locationGet directions
Mailing address
995 Canton St Ste 100
Roswell, GA 30075-4240
Other names (DBA / former)
- Doing business as
- Edgewood Nursing Center
- Doing business as
- Edgewood Nursing Center
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2019-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.