EDWARDS COMMUNITY SUPPORT SERVICES – NPI #1689870222
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 COMMUNITY SUPPORT SERVICES is a community based residential treatment facility located in SNOW HILL, NC. NPPES has assigned the NPI number 1689870222 to EDWARDS COMMUNITY SUPPORT SERVICES on June 21, 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 COMMUNITY SUPPORT SERVICES below.

NPI Profile for
EDWARDS COMMUNITY SUPPORT SERVICES

NPI Number
1689870222
Enumeration Date

(about 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 COMMUNITY SUPPORT SERVICES
Primary location
202 HART STREET
SNOW HILL, NC 28580
Phone: (252) 747-4000 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS MCCOLLUM
DIRECTOR
Phone: (252) 747-4000
Updated
Identifiers

Identifiers for EDWARDS COMMUNITY SUPPORT SERVICES

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
MEDICAIDNC8300899G
MEDICAIDNC8300899B
MEDICAIDNC8300899H
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)

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.