EDWARDS-EBANKS RESIDENTIAL SERVICES, LLC (NPI# 1447600747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447600747 |
| Entity Type | Organization |
| Organization Name | EDWARDS-EBANKS RESIDENTIAL SERVICES, LLC |
| Practice Address |
710 43rd St West Palm Beach FL 33407-3851 |
| Mailing Address |
2264 Sw Manele Pl Palm City FL 34990-8817 |
| Practice Telephone | 5614590578 |
| Mailing Telephone | 5614590578 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2017-05-08 |
| Authorized Official Name | LORNA EBANKS (MGR) |
| Authorized Official Telephone | 5614590578 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
710 43RD ST |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33407-3851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
| 1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
| 1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
| 1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
| 1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
| Find all providers in zip 33407 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029922 | Christ In The Vessel Agency LLC | Clinic/Center | 500 N Congress Ave Apt 85, West Palm Beach, FL 33401-2951 | 2020-10-05 |
| 1184191439 | Special Ability Services LLC | Clinic/Center | 739 39th Street, West Palm Beach, FL 33407-0332 | 2018-10-25 |
| 1568952372 | Angels With Hearts LLC | Clinic/Center | 1660 40th St, West Palm Beach, FL 33407-3640 | 2018-05-16 |
| 1689173833 | Lottie's Loving Care Services | Clinic/Center | 4026 Waverly Dr, West Palm Beach, FL 33407-3550 | 2018-02-02 |
| 1134634942 | Mary Louis | Clinic/Center | 2856 Tennis Club Dr Apt 200, West Palm Beach, FL 33417-2945 | 2017-12-04 |
| 1356860092 | Royal Paradise Center | Clinic/Center | 13918 69th St N, West Palm Beach, FL 33412-1970 | 2017-09-13 |
| 1912425513 | Passionate Care Services LLC | Clinic/Center | 524 Datura St # 221, West Palm Beach, FL 33401-5308 | 2017-09-02 |
| 1104366715 | Rowena Dunn-mckenzie | Clinic/Center | 13754 72nd Ct N, West Palm Beach, FL 33412-2108 | 2017-03-01 |
| 1932551835 | All Vip Care, Inc. | Clinic/Center | 5601 Corporate Way Ste 110, West Palm Beach, FL 33407-2041 | 2016-07-05 |
| 1982053062 | Louise Manor Care, LLC | Clinic/Center | 5147 51st Way, West Palm Beach, FL 33409-7144 | 2016-06-08 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33407 |
Please comment or provide details below to improve the information on EDWARDS-EBANKS RESIDENTIAL SERVICES, LLC.
| 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.