Active NPI
Edwards Developmental Service
- Developmentally Disabled Services Day Training Agency
- Ahoskie, NC
National Provider Identifier
1356724942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.