Organization Active NPI

Edencare Home Health Agency

  • Home Health Agency
  • Concord, CA
National Provider Identifier
1073155875
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EDENCARE HOME HEALTH AGENCY
Practice address
2455 Bates Ave Ste a
Concord, CA 94520-8502
Phone
(925) 202-0875
Fax
(925) 481-3820
NPI assigned
Oct 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Brenda MwesigwaNPI 1669860110
Title
Managing Director
Phone
(925) 202-0875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2455 Bates Ave Ste a
Concord, CA 94520-8502

Mailing address

2455 Bates Ave Ste a
Concord, CA 94520-8502
Phone (925) 202-0875

Other practice location 1

2455 Bates Ave Ste A
Concord, CA 94520-8502
Phone (925) 202-0875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210629002215 CA Part A Provider - Home Health Agency 2365843216 Practice locations: Concord, CA

Home health agency certification: CCN 757955

Legal name
EDENCARE HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 8, 2025
Last certification
Apr 30, 2025
Organization structure
OtherProprietary
Enrollment address
2455 Bates Ave
Ste a
Concord, CA 94520-8502

Care Compare: Home health agency

Medicare Care Compare
Listed as
Edencare Home Health AgencyCCN 757955
Ownership
-
Certified
May 8, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2284781Edencare Home Health Agency2455 Bates Avenue, Suite a, Concord, CA 94520Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory

Locations

729 1st St
Ste D
Brentwood, CA 94513
Phone (925) 202-0875

2455 Bates Ave
Ste A
Concord, CA 94520
Phone (925) 202-0875

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brenda Mwesigwa Individual 5% Or Greater Direct Ownership Interest Jul 8, 2019 90%
Corporate OfficerCfo, Secretary, Board Member Jul 8, 2019 90%
Corporate DirectorCeo, Owner Jul 8, 2019 90%
W-2 Managing EmployeeCeo, Owner Jul 8, 2019 90%
Operational/Managerial ControlCeo Jul 8, 2019 90%
Robert Buzzard Individual 5% Or Greater Direct Ownership Interest Jul 8, 2019 10%
Corporate OfficerCfo, Secretary, Board Member Jul 8, 2019 10%
Corporate DirectorCfo, Secretary, Board Member Jul 8, 2019 10%

Practitioners & affiliated clinicians

Practitioners 2

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": "1570924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1073155875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 BATES AVE STE A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945208502",
            "telephone_number": "925-202-0875",
            "fax_number": "925-481-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 BATES AVE STE A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945208502",
            "telephone_number": "925-202-0875",
            "fax_number": "925-481-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2455 Bates Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945208502",
            "country_code": "US",
            "telephone_number": "925-202-0875",
            "fax_number": "925-481-3820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDENCARE HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-13",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "MWESIGWA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "925-202-0875"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.