Organization Active NPI

Eden Paradise Assisted Living,LLC

  • Assisted Living Facility
  • Cape Coral, FL
National Provider Identifier
1073133997
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EDEN PARADISE ASSISTED LIVING,LLC
Practice address
6 NW 35TH Ave
Cape Coral, FL 33993-6932
Phone
(239) 282-2556
Fax
(239) 282-1558
NPI assigned
Apr 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Jeanne Tamas
Title
Administrator
Phone
(239) 645-5003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6 NW 35TH Ave
Cape Coral, FL 33993-6932

Mailing address

6 NW 35TH Ave
Cape Coral, FL 33993-6932
Phone (239) 282-2556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1073133997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NW 35TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339936932",
            "telephone_number": "239-282-2556",
            "fax_number": "239-282-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NW 35TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339936932",
            "telephone_number": "239-282-2556",
            "fax_number": "239-282-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN PARADISE ASSISTED LIVING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "TAMAS",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-645-5003"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.