NPIMap

Organization Active NPI

Edwards Support Services, LLC

  • Home Health Agency
  • Lake Park, FL
National Provider Identifier
1710522107
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EDWARDS SUPPORT SERVICES, LLC
Practice address
501 10TH St # 521
Lake Park, FL 33403-3166
Phone
(561) 914-4194
Fax
(561) 429-3426
NPI assigned
Nov 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Kentrell Edwards
Title
Owner
Phone
(386) 410-9951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

501 10TH St # 521
Lake Park, FL 33403-3166

Mailing address

501 10TH St # 521
Lake Park, FL 33403-3166
Phone (561) 914-4194

Other names 1

  • Arms of Faith Supportive Care Services LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edwards Support Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

524 Datura St
#225
West Palm Beach, FL 33401

NPI Registry JSON

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1710522107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 10TH ST # 521",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033166",
            "telephone_number": "561-914-4194",
            "fax_number": "561-429-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 10TH ST # 521",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033166",
            "telephone_number": "561-914-4194",
            "fax_number": "561-429-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-09",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KENTRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-410-9951"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arms of Faith Supportive Care Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.