NPIMap

Organization Active NPI

Eden Treatment, LLC

  • Psychiatric Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1043879083
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
EDEN TREATMENT, LLC
Practice address
3636 Dutch Valley Dr
Las Vegas, NV 89147-6806
Phone
(570) 203-9222
Fax
(570) 203-9477
NPI assigned
Jun 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Marshall
Title
Director, Billing & Collections
Phone
(570) 203-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

3636 Dutch Valley Dr
Las Vegas, NV 89147-6806

Mailing address

512 Northampton St
Edwardsville, PA 18704-4560
Phone (570) 203-9222

National Provider Directory

National Provider Directory
Tax ID family
Eden Treatment LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2330 Paseo del Prado
Ste C101
Las Vegas, NV 89102
Phone (725) 272-0330

1925 Village Center Cir
Ste 150
Las Vegas, NV 89134
Phone (702) 899-5810

512 Northampton St
Kingston, PA 18704
Phone (570) 218-7476

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1043879083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 NORTHAMPTON ST",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044560",
            "telephone_number": "570-203-9222",
            "fax_number": "570-203-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 DUTCH VALLEY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476806",
            "telephone_number": "570-203-9222",
            "fax_number": "570-203-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR, BILLING & COLLECTIONS",
        "authorized_official_telephone_number": "570-203-9222"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.