Eden Care Homes, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EDEN CARE HOMES, LLC

Practice address

7845 N Robinson Ave
Suite H3
Oklahoma City, OK 73116-7739

Phone

(405) 848-8378

Fax

(405) 848-8311

NPI assigned

May 12, 2014

Organization subpart

No

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

Authorized official

Name

Shannon McClure

Title

Administrator/Owner

Phone

(405) 848-8378

Specialties & licenses 1

Addresses

Tax ID family

Eden Care at Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Eden Care at Home, LLC

  • In Home Supportive Care Agency
  • Oklahoma City, OK
  • NPI 1871904813
  NPD tax ID

Locations

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1114338258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7845 N ROBINSON AVE",
            "address_2": "SUITE H3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167739",
            "telephone_number": "405-848-8378",
            "fax_number": "405-848-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 N ROBINSON AVE",
            "address_2": "SUITE H3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167739",
            "telephone_number": "405-848-8378",
            "fax_number": "405-848-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN CARE HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "405-848-8378"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carson Daniel Edelman
• Zackary Kraig Edelman, DC
• Abigail Edemidiong
• Ettiene Edemidiong
• Eden Care at Home, LLC
• Stacey L Eden
• Tierney Eden
• Jessica Leeann Edens, LMT
• R. Erik Edens, MD
• Chelsie Edgar, RBT

• Assisted Living Facility in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Assisted Living Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.