Organization Active NPI

Eden Care Facility LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Centennial, CO
National Provider Identifier
1205350105
Registry record updated Jun 19, 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 # 108
Centennial, CO 80112-4037
Phone
(720) 594-8163
Fax
(720) 222-6269
NPI assigned
Aug 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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)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
Transportation Broker 347E00000X
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.