Organization Active NPI

Edwards Developmental Service

  • Developmentally Disabled Services Day Training Agency
  • Ahoskie, NC
National Provider Identifier
1356724942
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
EDWARDS DEVELOPMENTAL SERVICE
Practice address
110 Mitchell St N
Ahoskie, NC 27910-3030
Phone
(252) 332-4005
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Mrs. Nikkita Chenelle Edwards
Title
Ceo
Phone
(252) 332-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

110 Mitchell St N
Ahoskie, NC 27910-3030

Mailing address

110 Mitchell St N
Ahoskie, NC 27910-3030
Phone (252) 332-4005

Other names 1

  • Edwards Developmental Service Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1356724942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MITCHELL ST N",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103030",
            "telephone_number": "252-332-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MITCHELL ST N",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103030",
            "telephone_number": "252-332-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS DEVELOPMENTAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "NIKKITA",
        "authorized_official_middle_name": "CHENELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-332-4005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwards Developmental Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.