NPIMap

Organization Active NPI

Eden Institute

Doing business as Eden Florida

  • Early Intervention Provider Agency
  • Bonita Springs, FL
National Provider Identifier
1215188537
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
EDEN INSTITUTE
Doing business as
Eden Florida
Practice address
24860 Burnt Pine Dr
Building 6, Suite 3
Bonita Springs, FL 34134-1909
Phone
(239) 992-4680
Fax
(239) 992-4952
NPI assigned
Oct 6, 2008
Last updated
Oct 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Mr. Armando Galella
Title
Director
Phone
(239) 992-4680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

24860 Burnt Pine Dr
Building 6, Suite 3
Bonita Springs, FL 34134-1909

Mailing address

24860 Burnt Pine Dr
Building 6, Suite 3
Bonita Springs, FL 34134-1909
Phone (239) 992-4680

Other identifiers 1

IdentifierTypeStateIssuer
682652196MedicaidFL

Other names 1

  • Eden Florida Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eden Autism46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Locations

24860 Burnt Pine Dr
Ste 3
Bonita Springs, FL 34134
Phone (239) 992-4680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1215188537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24860 BURNT PINE DR",
            "address_2": "BUILDING 6, SUITE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341909",
            "telephone_number": "239-992-4680",
            "fax_number": "239-992-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24860 BURNT PINE DR",
            "address_2": "BUILDING 6, SUITE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341909",
            "telephone_number": "239-992-4680",
            "fax_number": "239-992-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "GALELLA",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "239-992-4680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "682652196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.