DERRICK DWAYNE EDWARDS NPI 1366156614

NPI Information

  • NPI: 1366156614
  • Provider Name: DERRICK DWAYNE EDWARDS
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Individual
  • Address: 2321 COOLMIST CREEK DR
    LITTLE ELM, TX
    ZIP 75068
  • Phone: (469) 481-6874

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NPI Details

Derrick Dwayne Edwards is an assisted living facility in Little Elm, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. Derrick Dwayne Edwards NPI is 1366156614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2321 COOLMIST CREEK DR
LITTLE ELM, TX
ZIP 75068-197
Phone: (469) 481-6874
Fax: (214) 618-0724

The enumeration date for this NPI number is 1/11/2023 and was last updated on 1/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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