=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760802532
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EDITION HEALTH SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/21/2014
-----------------------------------------------------
Last Update Date | 02/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1700 ALMA DR STE 109
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75075-6949
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-473-4491
-----------------------------------------------------
Fax | 972-468-0022
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 101 W RENNER RD STE 420
-----------------------------------------------------
City | RICHARDSON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75082-2022
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-525-3338
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF OPERATIONS OFFICER
-----------------------------------------------------
Name | MR. DONNIE MABERRY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 972-468-8070
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------