IAN EDWARDS (NPI# 1427618404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427618404 |
Entity Type | Individual |
Full Name | IAN EDWARDS |
Practice Address |
1345 Shela Blvd Apt 7 Portsmouth OH 45662-8981 |
Practice Telephone | 7404061421 |
Mailing Telephone | 7404061421 |
Enumeration Date | 2019-06-20 |
Last Update Date | 2019-06-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386065803 | Ian Edwards | Massage Therapist | 225 Lighthouse Ave, Suite F, Monterey, CA 93940-1429 | 2013-12-31 |
1023665056 | Ian Edwards | Physical Therapist | 1131 Baltimore Pike, Bel Air, MD 21014-5132 | 2019-08-23 |
1083911473 | Ian Edwards | Psychologist | 350 N Main St, Butler, PA 16001-4921 | 2011-02-21 |
1124141205 | Ian Edwards | Social Worker | 118 Central St, Waltham, MA 02453-5465 | 2007-04-06 |
Street Address |
1345 SHELA BLVD APT 7 |
City | PORTSMOUTH |
State | OH |
Zip Code | 45662-8981 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
Find all providers in zip 45662 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447695150 | Andrea Denise Bond | Community Based Residential Treatment Facility, Mental Illness | 2524 Lansing Ave, Portsmouth, VA 23704-6426 | 2013-05-08 |
1457657801 | Venus R Jones Utopia House | Community Based Residential Treatment Facility, Mental Illness | 1020 Leckie St, Portsmouth, VA 23704-1904 | 2011-02-02 |
1093040214 | James Bentley Treatment Program | Community Based Residential Treatment Facility, Mental Illness | 1020 Leckie Street, Portsmouth, VA 23704 | 2009-10-06 |
1730351925 | Crossroads Family Services II LLC | Community Based Residential Treatment Facility, Mental Illness | 2602 Lincoln St, Portsmouth, VA 23704-4245 | 2008-03-27 |
1861403685 | Crawford First Education | Community Based Residential Treatment Facility, Mental Illness | 825 Crawford Pkwy, Portsmouth, VA 23704-2301 | 2006-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720613474 | Kimberly Sangare | Community Based Residential Treatment Facility, Mental Illness | 2302 Norwood Ave Apt 3, Cincinnati, OH 45212-2738 | 2020-03-03 |
1548827751 | Pyramid House LLC | Community Based Residential Treatment Facility, Mental Illness | 6041 Mcnaughten Grove Ln, Columbus, OH 43213-5106 | 2019-05-22 |
1003359936 | My Sisters House for Girls, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4540 Woolcut Ln, Toledo, OH 43615-7667 | 2016-11-26 |
1083067896 | Jaz Boyce | Community Based Residential Treatment Facility, Mental Illness | 592 Wiltshire Rd, Columbus, OH 43204-2429 | 2016-07-16 |
1679927974 | Parents Addressing Teen Challenges | Community Based Residential Treatment Facility, Mental Illness | 65 N Powell Ave, Columbus, OH 43204-2618 | 2016-04-22 |
1962864348 | Kailey Bradley | Community Based Residential Treatment Facility, Mental Illness | 80 Samaritan Ave Apt 1, Ashland, OH 44805-3924 | 2016-03-24 |
1134540503 | The Village Network Inc. | Community Based Residential Treatment Facility, Mental Illness | 5500 Market St Ste 106, Boardman, OH 44512-2616 | 2014-01-02 |
1184943417 | Tender Mercies, Inc. | Community Based Residential Treatment Facility, Mental Illness | 27 W 12th St, Cincinnati, OH 45202-7205 | 2010-05-26 |
1528200227 | Brockton Healthcare Network | Community Based Residential Treatment Facility, Mental Illness | 5701 Spruce Tree Dr, Columbus, OH 43232-7751 | 2009-03-27 |
1891945549 | Tarry House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 564 Diagonal Rd, Akron, OH 44320-3010 | 2008-09-30 |
Find all providers with the same taxonomy |
City | PORTSMOUTH |
Zip Code | 45662 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.