OrganizationActive
Edwargroup,llc
NPI 1730239062 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Goldsboro, NC
Provider details
- NPI number
- 1730239062
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Corey Dickerson, Director(919) 734-2359
- License
- MHL-096-063 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense MHL-096-063 (NC)
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1301 Peele St
Goldsboro, NC 27530-6920
Phone: (919) 734-2359
Fax: (919) 734-3941
Street-level locationGet directions
Mailing address
1301 Peele St
Goldsboro, NC 27530-6920
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.