Healthcare Provider Details

I. General information

NPI: 1306773734
Provider Name (Legal Business Name): SAFE EDGE HOME AND HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 HOWARD RD STE G
MADERA CA
93637-5152
US

IV. Provider business mailing address

1930 HOWARD RD STE G
MADERA CA
93637-5152
US

V. Phone/Fax

Practice location:
  • Phone: 559-495-8533
  • Fax:
Mailing address:
  • Phone: 559-495-8533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EDGAR BEZADA
Title or Position: OWNER
Credential: COTA,CAPS
Phone: 559-495-8533