Regina C Edwards

Primary specialty

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

Practice address

10112 Grove Crest CT
North Chesterfield, VA 23236-5531

Phone

(804) 276-6713

Fax

(804) 271-4802

NPI assigned

Jun 20, 2017

Sex

Female

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.

• Faith Residential Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • North Chesterfield, VA
  • NPI 1609326750

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

  NPD (past) Authorized official

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1780104935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238329101",
            "telephone_number": "804-276-6713",
            "fax_number": "804-271-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10112 GROVE CREST CT",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365531",
            "telephone_number": "804-276-6713",
            "fax_number": "804-271-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "REGINA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Te'Sarah Edmondson, COTA
• Lisa Cseh Edsall, MD, PHD
• Brittney Lynskey Edwards, CSAC-A, RPRS
• Jennifer Goode Edwards, DPM
• Marissa Noelle Edwards
• Efficient Support Services, LLC
• Eh Home Health of the Mid Atlantic, LLC
• Eh Home Health of the Mid Atlantic, LLC
• Daneyelle Elder, MT-BC
• Keith Eldridge, D.D.S

• All providers in North Chesterfield, VA
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.