EDWARDS GROUP HOME 3 – NPI #1245360387
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

EDWARDS GROUP HOME 3 is a community based residential treatment facility located in STANTONSBURG, NC. NPPES has assigned the NPI number 1245360387 to EDWARDS GROUP HOME 3 on March 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 18 years ago on Jan 10, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDWARDS GROUP HOME 3 below.

NPI Profile for
EDWARDS GROUP HOME 3

NPI Number
1245360387
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EDWARDS GROUP HOME 3
Primary location
1233 APPLETREE ROAD
STANTONSBURG, NC 27833
Phone: (252) 747-4000 Fax: (252) 747-2602
Mailing address
PO BOX 295
SNOW HILL, NC 28580-0295
Phone: (252) 747-4000 Fax: (252) 747-2602
Organization Subpart
No
Authorized Official
THOMAS MCCOLLUM
CEO
Phone: (252) 747-4000
Updated
Identifiers

Identifiers for EDWARDS GROUP HOME 3

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPROVIDER NUMBERNC7805043
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
NC MHL040026

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.