Organization Active NPI

Eden Treatment, LLC

  • Psychiatric Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1104424829
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
EDEN TREATMENT, LLC
Practice address
7390 Edna Ave
Las Vegas, NV 89117-2902
Phone
(877) 853-3362
NPI assigned
Oct 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Melissa Marshall
Title
Director of Billing & Collections
Phone
(570) 203-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

7390 Edna Ave
Las Vegas, NV 89117-2902

Mailing address

8635 W Sahara Ave # 10
Las Vegas, NV 89117-5858
Phone (570) 203-2222

National Provider Directory

National Provider Directory
Tax ID family
Eden Treatment LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1104424829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W SAHARA AVE # 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175858",
            "telephone_number": "570-203-2222",
            "fax_number": "570-203-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 EDNA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172902",
            "telephone_number": "877-853-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2023-08-17",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING & COLLECTIONS",
        "authorized_official_telephone_number": "570-203-9222"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.