Herman Edwards

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

19761 E Purdue PL
Aurora, CO 80013-4526

Phone

(720) 210-6264

NPI assigned

Feb 13, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Progress Residential Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Aurora, CO
  • NPI 1902602659

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1497550552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19761 E PURDUE PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800134526",
            "telephone_number": "720-210-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19761 E PURDUE PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800134526",
            "telephone_number": "720-210-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "HERMAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwards Medical Provider Group
• Ashley Edwards
• Caleb Simpeh Edwards, MD
• Champagne Marie Edwards, MSW, LCSW
• Gerald A Edwards, D.M.D.
• India Ola Debora Edwards
• James H Edwards III, ACNP
• Jenna Edwards, LMT
• Michael Hollis Edwards, MD
• Shelley Edwards

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Aurora, CO
• Providers in Aurora, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.