Edwards Behavioral Health Services Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

096134 Issued in NC

Legal business name

EDWARDS BEHAVIORAL HEALTH SERVICES INC

Practice address

208 Lane Tree Dr
Goldsboro, NC 27530-9035

Phone

(919) 288-3490

NPI assigned

May 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Curtis Eugene Edwards

Title

Ceo

Phone

(919) 288-3490

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306058078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LANETREE DRIVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LANE TREE DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275309035",
            "telephone_number": "919-288-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-288-3490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "096134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Eby, CRNA
• Eckerd Corporation (Rite Aid Pharmacy 11377)
• Edc Drug Stores Inc (Rite Aid Pharmacy 11375)
• Edc Drug Stores Inc (Rite Aid Pharmacy 11376)
• Ronnie Elaine Edmundson, NP
• Candra Nikita Edwards
• Shana Edwards, CRNA
• Vance H Edwards, M.D.
• Wiley Edwards Jr.
• Edwargroup,LLC

• Assisted Living Facility (Mental Illness) in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.