IAN EDWARDS


Address: 1345 Shela Blvd Apt 7, Portsmouth, OH 45662-8981
Phone: 7404061421

IAN EDWARDS (NPI# 1427618404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Providers IAN EDWARDS

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

Office Location

Street Address 1345 SHELA BLVD APT 7
City PORTSMOUTH
State OH
Zip Code 45662-8981

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City PORTSMOUTH
Zip Code 45662

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Dataset Information

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.

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