Active NPI
Edwards Support Services LLC
- In Home Supportive Care Agency
- West Palm Beach, FL
National Provider Identifier
1831761063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- EDWARDS SUPPORT SERVICES LLC
- Practice address
- 401 N Rosemary Ave
West Palm Beach, FL 33401-4133 - Phone
- (561) 236-0021
- NPI assigned
- Jul 16, 2021
- 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
- Kentrell Lamar Edwards
- Title
- Owner
- Phone
- (561) 236-0021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
401 N Rosemary Ave
West Palm Beach, FL 33401-4133
Mailing address
401 N Rosemary Ave
West Palm Beach, FL 33401-4133
Phone (561) 236-0021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236386 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@edwardssupportservices.com |
National Provider Directory
National Provider Directory- Tax ID family
- Edwards Support Services LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1073115127
-
- Home Health Agency
- Lake Park, FL
- NPI 1710522107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1831761063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N ROSEMARY AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334014133",
"telephone_number": "561-236-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N ROSEMARY AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334014133",
"telephone_number": "561-236-0021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARDS SUPPORT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-16",
"last_updated": "2023-09-06",
"certification_date": "2021-07-16",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "KENTRELL",
"authorized_official_middle_name": "LAMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-236-0021"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236386",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@edwardssupportservices.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "401 N Rosemary Ave",
"city": "West Palm Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334014133",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.