Active NPI
Eden by Enhance LLC
- Psychiatric Residential Treatment Facility
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- EDEN BY ENHANCE LLC
- Practice address
- 35 Mann St
Irvine, CA 92612-2741 - Phone
- (833) 903-3334
- NPI assigned
- Sep 15, 2021
- Last updated
- Apr 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Khouie, MA
- Title
- Clinical Director
- Phone
- (833) 903-3334
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | NU | Primary |
Addresses
Primary practice location
35 Mann St
Irvine, CA 92612-2741
Mailing address
35 Mann St
Irvine, CA 92612-2741
Phone (833) 903-3334
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2290525 | Eden by Enhance | Certificate of waiver | Sep 25, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680652800000",
"number": "1295405884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MANN ST",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122741",
"telephone_number": "833-903-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MANN ST",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122741",
"telephone_number": "833-903-3334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN BY ENHANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-15",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A",
"authorized_official_last_name": "KHOUIE",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "833-903-3334",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.