NPIMap

Organization Active NPI

Edc of Denver, LLC

  • Psychiatric Hospital
  • Omaha, NE
National Provider Identifier
1316529068
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
EDC OF DENVER, LLC
Practice address
11218 John Galt Blvd Ste 204
Omaha, NE 68137-2358
Phone
(402) 408-0294
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Dawn Lynne Sullivan
Title
Executive Assistant
Phone
(720) 889-4227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

11218 John Galt Blvd Ste 204
Omaha, NE 68137-2358

Mailing address

11218 John Galt Blvd Ste 204
Omaha, NE 68137-2358
Phone (402) 408-0294

Other names 1

  • EDCare Omaha Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsullivan@eatingdisorder.care Direct EDC of Denver, LLC

National Provider Directory

National Provider Directory
Tax ID family
Eating Disorder Center of Denver5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1316529068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11218 JOHN GALT BLVD STE 204",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372358",
            "telephone_number": "402-408-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11218 JOHN GALT BLVD STE 204",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372358",
            "telephone_number": "402-408-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDC OF DENVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "720-889-4227"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsullivan@eatingdisorder.care",
            "affiliation": "Y",
            "endpointDescription": "Administrative email",
            "affiliationName": "EDC of Denver, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4100 E Mississippi Ave Ste 1300",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802463057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "EDCare Omaha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.