NPIMap

Organization Active NPI

Eden Star Living LLC

  • Case Management Agency
  • Houston, TX
National Provider Identifier
1245738707
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EDEN STAR LIVING LLC
Practice address
13250 Westheimer Rd Apt 202
Houston, TX 77077-3586
Phone
(720) 365-4942
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Adenike KotunNPI 1942802640
Title
C.E.O.
Phone
(720) 365-4942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

13250 Westheimer Rd Apt 202
Houston, TX 77077-3586

Mailing address

13250 Westheimer Rd Apt 202
Houston, TX 77077-3586
Phone (720) 365-4942

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1245738707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13250 WESTHEIMER RD APT 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773586",
            "telephone_number": "720-365-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13250 WESTHEIMER RD APT 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773586",
            "telephone_number": "720-365-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN STAR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "KOTUN",
        "authorized_official_first_name": "ADENIKE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "720-365-4942"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.