Organization Active NPI

Eden Home Healthcare LLC

  • Home Health Aide
  • Commercial Point, OH
National Provider Identifier
1306629282
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
EDEN HOME HEALTHCARE LLC
Practice address
290 Arledge Dr
Commercial Point, OH 43116-6523
Phone
(614) 657-7615
NPI assigned
Aug 15, 2023
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Dominique Khiree WashingtonNPI 1538884440
Title
Owner
Phone
(614) 657-7615

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

290 Arledge Dr
Commercial Point, OH 43116-6523

Mailing address

290 Arledge Dr
Commercial Point, OH 43116-6523
Phone (614) 657-7615

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, 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": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1306629282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 ARLEDGE DR",
            "city": "COMMERCIAL POINT",
            "state": "OH",
            "postal_code": "431166523",
            "telephone_number": "614-657-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ARLEDGE DR",
            "city": "COMMERCIAL POINT",
            "state": "OH",
            "postal_code": "431166523",
            "telephone_number": "614-657-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "KHIREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-657-7615"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commercial Point, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.