NPIMap

Organization Active NPI

Eden Senior Care Services LLC

  • Adult Day Care Clinic/Center
  • Chantilly, VA
National Provider Identifier
1053876805
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
EDEN SENIOR CARE SERVICES LLC
Practice address
15120 Enterprise CT Ste 101
Chantilly, VA 20151-1274
Phone
(240) 377-6760
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Mrs. Isabel H Scarlett Jr.
Title
Ceo
Phone
(703) 828-7545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

15120 Enterprise CT Ste 101
Chantilly, VA 20151-1274

Mailing address

6606 Okeefe Knoll CT
Fairfax Station, VA 22039-1864
Phone (571) 439-9005

National Provider Directory

National Provider Directory
Tax ID family
Eden Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1053876805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 OKEEFE KNOLL CT",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391864",
            "telephone_number": "571-439-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15120 ENTERPRISE CT STE 101",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511274",
            "telephone_number": "240-377-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN SENIOR CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "SCARLETT",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-828-7545",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.