Organization Active NPI

Eden Home Care Inc

  • Home Health Agency
  • Diamond Bar, CA
National Provider Identifier
1285134072
Registry record updated Feb 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EDEN HOME CARE INC
Practice address
3333 S Brea Canyon Rd Ste 107
Diamond Bar, CA 91765-3782
Phone
(213) 596-9119
Fax
(213) 596-9153
NPI assigned
Feb 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2018

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

Authorized official

Name
Mr. David Ko
Title
Ceo
Phone
(213) 596-9119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3333 S Brea Canyon Rd Ste 107
Diamond Bar, CA 91765-3782

Mailing address

3333 S Brea Canyon Rd Ste 107
Diamond Bar, CA 91765-3782
Phone (213) 596-9119

National Provider Directory

National Provider Directory

Locations

3333 S Brea Canyon Rd
Ste 107
Diamond Bar, CA 91765
Phone (213) 596-9119

NPI Registry JSON

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518912000000",
    "number": "1285134072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S BREA CANYON RD STE 107",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653782",
            "telephone_number": "213-596-9119",
            "fax_number": "213-596-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S BREA CANYON RD STE 107",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653782",
            "telephone_number": "213-596-9119",
            "fax_number": "213-596-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-18",
        "last_updated": "2018-02-18",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-596-9119",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

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