Eden Grove Healthcare LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

EDEN GROVE HEALTHCARE LLC

Practice address

999 Waterside Dr Ste 2600
Norfolk, VA 23510-3300

Phone

(202) 766-7689

NPI assigned

May 27, 2026

Organization subpart

No

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

Authorized official

Name

Amaah Penn

Title

Ceo

Phone

(202) 766-7689

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1285565200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 WATERSIDE DR STE 2600",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235103300",
            "telephone_number": "202-766-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 WATERSIDE DR STE 2600",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235103300",
            "telephone_number": "202-766-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN GROVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "AMAAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-766-7689"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eckerd Corporation
• Eckerd Corporation
• Mark Ancel Guerrero Edang, M.D.
• Heidemarie Edeling, MB.CH.B
• Eden Counseling Center
• Shelby Edge
• Edifying Lives
• Scott Edington
• Donneshia Shanta Edmond, LPC
• Dottie Joyner Edmonds, MED/ CAGS

• Substance Abuse Rehabilitation Facility in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Substance Abuse Rehabilitation Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.