Eden Spring Living Center, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-032-073 Issued in NC

Legal business name

EDEN SPRING LIVING CENTER, INC.

Practice address

3812 Booker Ave
Durham, NC 27713-1126

Phone

(919) 544-0874

Fax

(919) 544-0802

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jackson Odondi

Title

Administrator

Phone

(919) 949-3585

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1073866596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15927",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277040927",
            "telephone_number": "919-544-0874",
            "fax_number": "919-544-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 BOOKER AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131126",
            "telephone_number": "919-544-0874",
            "fax_number": "919-544-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN SPRING LIVING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "ODONDI",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-949-3585",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-032-073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley Edds, M.S., CCC-SLP
• Kevin Edelen, NP
• David Edelman, MD
• Jennifer Edelschick
• Lena Eder, MD
• Michael Devin Edge, CADC-I
• Emily Edgerton
• Spencer Edgerton, DPT, PT
• Alison Hester Edie, NP

• Assisted Living Facility in Durham, NC
• Providers in Durham, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.