Organization Active NPI

Eden Care Facility LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Centennial, CO
National Provider Identifier
1083527642
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
EDEN CARE FACILITY LLC
Practice address
7009 S Potomac St Unit 108
Centennial, CO 80112-4037
Phone
(720) 812-2009
Fax
(720) 222-6269
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Ginny Lynn Blalock
Title
Executive Director
Phone
(720) 812-2009

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

7009 S Potomac St Unit 108
Centennial, CO 80112-4037

Mailing address

7009 S Potomac St Unit 108
Centennial, CO 80112-4037
Phone (720) 812-2009

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1083527642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7009 S POTOMAC ST UNIT 108",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124037",
            "telephone_number": "720-812-2009",
            "fax_number": "720-222-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7009 S POTOMAC ST UNIT 108",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124037",
            "telephone_number": "720-812-2009",
            "fax_number": "720-222-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN CARE FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "BLALOCK",
        "authorized_official_first_name": "GINNY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "720-812-2009"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.