EDWARDS COMMUNITY SUPPORT SERVICES NPI 1689870222

NPI Information

  • NPI: 1689870222
  • Provider Name: EDWARDS COMMUNITY SUPPORT SERVICES
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 202 HART STREET
    SNOW HILL, NC
    ZIP 28580
  • Phone: (252) 747-4000

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NPI Details

EDWARDS COMMUNITY SUPPORT SERVICES is a community based residential treatment facility mental illness in Snow Hill, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. EDWARDS COMMUNITY SUPPORT SERVICES NPI is 1689870222. The provider is registered as an organization entity type.

The provider's business location address is:

202 HART STREET
SNOW HILL, NC
ZIP 28580
Phone: (252) 747-4000

The provider's authorized official is Thomas Mccollum .
The authorized official title is Director and has the following contact phone number (252) 747-4000.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 1/10/2008.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18300899HMEDICAIDNORTH CAROLINA
28300899BMEDICAIDNORTH CAROLINA
38300899GMEDICAIDNORTH CAROLINA

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: 3/30/2025

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