EDWARDS GROUP HOME 4
NPI 1609906288
Community Based Residential Treatment Facility, Mental Illness in Stantonsburg, NC

Active since March 06, 2007
1269 APPLE TREE RD, STANTONSBURG, NC 27883(252) 747-4000(252) 747-2602 Get Directions Write a Review

NPPES record last updated: January 10, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Edwards Group Home 4 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARDS GROUP HOME 4 (NPI 1609906288) is a community based residential treatment facility, mental illness in Stantonsburg, North Carolina and active in the NPI registry since March 2007. The organization lists Thomas Mccollum, Ceo, as its authorized official.Information from the official NPPES registry record, last updated January 10, 2008.

NPPES Registry Identity

NPI1609906288
Entity TypeOrganization
Legal Business NameEDWARDS GROUP HOME 4
Location Address1269 APPLE TREE RDStantonsburg, NC 27883-9039
Mailing AddressPo Box 295Snow Hill, NC 28580-0295 · (252) 747-4000 · Fax (252) 747-2602
Fax(252) 747-2602
Organization SubpartNo
Authorized OfficialThomas MccollumCeo · (252) 747-4000
Enumeration DateMarch 6, 2007
Last NPPES UpdateJanuary 10, 2008
NPI 1609906288 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Community Based Residential Treatment Facility, Mental Illness

Taxonomy 320800000X · Residential Treatment Facilities

Licensed in NC · MHL040027

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

1269 APPLE TREE RD, Stantonsburg, NC 27883

Also on File with NPPES

Other Identifiers1
7805335 (Other, NC, Provider Number)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609906288, enumerated as an "organization" on March 06, 2007.

The provider is located at 1269 APPLE TREE RD STANTONSBURG, NC 27883 and the phone number is (252) 747-4000.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.