Edwards Enterprise & Remodeling LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

EDWARDS ENTERPRISE & REMODELING LLC

Doing business as

None

Practice address

479 Ervin LN
Covington, TN 38019-6014

Phone

(901) 687-7929

NPI assigned

Dec 22, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Cory Lamont Edwards

Title

Owner

Phone

(901) 687-7929

Specialties & licenses 1

Addresses

Other names 1

• NONE Doing business as

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1851160543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280343",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381680343",
            "telephone_number": "901-687-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 ERVIN LN",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380196014",
            "telephone_number": "901-687-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS ENTERPRISE & REMODELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-687-7929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Contractor in Covington, TN
• Providers in Covington, TN by specialty
• Contractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.