Michael J Edwards Sr., MINISTER – Homemaker

Key facts

NPI: 1295964088
Entity type: Individual (NPI type 1)
Primary specialty: Homemaker 376J00000X
Practice address: 2102 Tradewind Dr
Suite 172
Mesquite, TX 75150-3309
Phone: (601) 810-5788
NPI assigned: Jul 14, 2009
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Dvine Care In Home Supportive Care Agency · Mesquite, TX · NPI 1356676746

NPD (past) Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Dvine Care		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	Primary
Community Health Worker	172V00000X
Pastoral Counselor	101YP1600X
Counselor	101Y00000X
Massage Therapist	225700000X
Acupuncturist	171100000X
Driver	172A00000X
Adult Companion	372600000X
Chore Provider	372500000X
Homemaker	376J00000X	Yes
Religious Nonmedical Practitioner	374K00000X
Interpreter	171R00000X

Addresses

Primary practice location

2102 Tradewind Dr
Suite 172
Mesquite, TX 75150-3309

Mailing address

1017 Haney Rd Ste C
Summit, MS 39666-9079
Phone (601) 810-5788

Other providers in Mesquite, TX

All providers in Mesquite, TX · Homemaker in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.