Eden's Home of Care, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

PCH005676 Issued in GA

Legal business name

EDEN'S HOME OF CARE, LLC

Practice address

3716 Newhalem St SW
Atlanta, GA 30331-2243

Phone

(404) 288-2333

Fax

(404) 521-4967

NPI assigned

Jul 18, 2011

Last updated

Jul 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. J Britney Williams, DO

Title

Ceo

Phone

(404) 288-2333

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1164710711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 N DRUID HILLS RD",
            "address_2": "SUITE 342",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333105",
            "telephone_number": "404-288-2333",
            "fax_number": "404-521-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 NEWHALEM ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312243",
            "telephone_number": "404-288-2333",
            "fax_number": "404-521-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN'S HOME OF CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "BRITNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-288-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "PCH005676",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "GA",
            "license": "PCH005676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Alan Edelstein, D.D.S.
• Olumide Edemodu, BCBA
• Eden Pharmacy LLC
• Claire Cutler Eden, IBCLC
• Eden's Care Hospice, LLC Dba Eden's Care
• Jane Jones Edens, RN
• Angela Eder
• Alyssa Jade Edgar
• Edge Medical Services
• Edge to Edge Center LLC (Edge to Edge Center)

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.