NPIMap

Organization Active NPI

Edwards Support Services, LLC

  • Home Health Agency
  • West Palm Beach, FL
National Provider Identifier
1073115127
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EDWARDS SUPPORT SERVICES, LLC
Practice address
401 N Rosemary Ave
West Palm Beach, FL 33401-4133
Phone
(551) 236-0021
Fax
(561) 429-3426
NPI assigned
Nov 13, 2020
Last updated
Nov 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kentrell Lamar EdwardsNPI 1598367930
Title
Owner
Phone
(561) 236-0021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

401 N Rosemary Ave
West Palm Beach, FL 33401-4133

Mailing address

401 N Rosemary Ave
West Palm Beach, FL 33401-4133
Phone (551) 236-0021

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@edwardssupportservices.com

National Provider Directory

National Provider Directory
Tax ID family
Edwards Support Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1073115127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N ROSEMARY AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014133",
            "telephone_number": "551-236-0021",
            "fax_number": "561-429-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N ROSEMARY AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014133",
            "telephone_number": "551-236-0021",
            "fax_number": "561-429-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KENTRELL",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-236-0021"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@edwardssupportservices.com",
            "affiliation": "N",
            "address_1": "401 N Rosemary Ave",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334014133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.