Active NPI
Eden Care Facility LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Centennial, CO
National Provider Identifier
1205350105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- EDEN CARE FACILITY LLC
- Practice address
- 7009 S Potomac St # 108
Centennial, CO 80112-4037 - Phone
- (720) 594-8163
- Fax
- (720) 222-6269
- NPI assigned
- Aug 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ginny Lynn Blalock
- Title
- Coo/ Executive Director
- Phone
- (720) 812-2009
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | ||
| Transportation Broker | 347E00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
7009 S Potomac St # 108
Centennial, CO 80112-4037
Mailing address
2021 S Hannibal Way Apt B
Aurora, CO 80013-4068
Phone (720) 812-2009
National Provider Directory
National Provider DirectoryLocations
7009 S Potomac St
#108
Centennial, CO 80112
Phone (720) 594-8163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1205350105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 S HANNIBAL WAY APT B",
"city": "AURORA",
"state": "CO",
"postal_code": "800134068",
"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 # 108",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124037",
"telephone_number": "720-594-8163",
"fax_number": "720-222-6269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN CARE FACILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-01",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A",
"authorized_official_last_name": "BLALOCK",
"authorized_official_first_name": "GINNY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "COO/ 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
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.