Provider Demographics
NPI:1558164053
Name:EDWARDS HOME KARE AND RESPITE SERVICE
Entity type:Organization
Organization Name:EDWARDS HOME KARE AND RESPITE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-673-9327
Mailing Address - Street 1:414 PITTMAN DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5664
Mailing Address - Country:US
Mailing Address - Phone:252-673-9327
Mailing Address - Fax:
Practice Address - Street 1:414 PITTMAN DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5664
Practice Address - Country:US
Practice Address - Phone:252-673-9327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
No251B00000XAgenciesCase Management
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care
No305S00000XManaged Care OrganizationsPoint of Service
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child