Edwards Direct Home Care Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EDWARDS DIRECT HOME CARE AGENCY, LLC

Practice address

143 W. Walnut Lane
Rear Building - Suite 205
Philadelphia, PA 19144

Phone

(888) 690-0525

Fax

(267) 331-5758

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Qimmah Edwards

Title

Owner

Phone

(888) 690-0525

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1851990717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W. WALNUT LANE",
            "address_2": "REAR BUILDING - SUITE 205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19144",
            "telephone_number": "888-690-0525",
            "fax_number": "267-331-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W. WALNUT LANE",
            "address_2": "REAR BUILDING - SUITE 205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19144",
            "telephone_number": "888-690-0525",
            "fax_number": "267-331-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS DIRECT HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "QIMMAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-690-0525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edwardsdirecthca@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "143 W. Walnut Lane",
            "address_2": "Rear Building - Suite 205",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edward J McGinley MD PC
• Edward J Strauss D.O., P.C.
• Edward J.P. Ciecko, DO, PC
• Edward M. Segal, D.D.S., Associates
• Michelle Edward
• Nafisah Edwards-Rasul
• Celina Edwards
• Christopher Edwards, MD
• Christopher Edwards, MD
• David Edwards, MD

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.