VALARIE EDWARDS — NPI 1487227989 (Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in SAN AUGUSTINE, TX)

CMS-1500 Box 24J / 33a • NPI

1487227989

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

320900000X

Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Box 32 Service Location & ZIP+4

502 E PLANTERS ST, SAN AUGUSTINE, TX, 75972-2142

✓ 9-Digit EDI 837 ZIP+4 (75972-2142)

Practice Phone & Referral Fax

(346) 268-7794

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1487227989 (VALARIE EDWARDS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1487227989` (NPI-1 Individual Practitioner)
Provider / Legal Name	VALARIE EDWARDS
Plain-English Specialty	Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities NUCC Code: `320900000X` (Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	502 E PLANTERS ST, SAN AUGUSTINE, TX, 75972-2142
Practice Telephone / Fax	Tel: (346) 268-7794
Administrative Mailing Address	12630 TWILIGHT BEND CT, HOUSTON, TX, 77086-1942
Enumeration & Last Sync	Enumerated: 2021-07-21 \| CMS Record Updated: 2023-09-29

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

502 E PLANTERS ST, SAN AUGUSTINE, TX, 75972-2142

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Plain-English Taxonomy & CMS Crosswalk (320900000X)

What Does Taxonomy Code 320900000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 320900000X translates to:
"Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (VALARIE EDWARDS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`311ZA0620X` — Custodial Care Facility, Adult Care Home Plain English: Licensed & Credentialed Custodial Care Facility, Adult Care Home	State: N/A \| License: `Verified` \| Primary: Secondary
`315P00000X` — Intermediate Care Facility, Intellectual Disabilities Plain English: Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded	State: N/A \| License: `Verified` \| Primary: Secondary
`251G00000X` — Hospice Care, Community Based Plain English: Licensed & Credentialed Agencies — Hospice Care, Community Based	State: N/A \| License: `Verified` \| Primary: Secondary
`310400000X` — Assisted Living Facility Plain English: Licensed & Credentialed Assisted Living Facility	State: N/A \| License: `Verified` \| Primary: Secondary
`311Z00000X` — Custodial Care Facility Plain English: Licensed & Credentialed Custodial Care Facility	State: N/A \| License: `Verified` \| Primary: Secondary
`320900000X` — Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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VALARIE EDWARDS (NPI #1487227989)