Eden Springs Assisted Living East LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0297R Issued in OH

Legal business name

EDEN SPRINGS ASSISTED LIVING EAST LLC

Practice address

430 N Broadway St
Green Springs, OH 44836-9734

Phone

(419) 639-2158

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Mayer Spilman

Title

Member

Phone

(347) 767-2060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1326593161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N BROADWAY ST",
            "city": "GREEN SPRINGS",
            "state": "OH",
            "postal_code": "448369734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N BROADWAY ST",
            "city": "GREEN SPRINGS",
            "state": "OH",
            "postal_code": "448369734",
            "telephone_number": "419-639-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN SPRINGS ASSISTED LIVING EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "SPILMAN",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "347-767-2060"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "0297R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Carter
• Tiella Marie Carter
• William Jerald Collins II
• Aimee Cunningham, SLP
• Kristi Marie Desantis
• Eden Springs Healthcare Center LLC
• Eden Springs Nursing and Rehabilitation East LLC
• Eden Springs Nursing and Rehabilitation West LLC
• Eden Springs Pharmacy LLC
• Elmwood Centers

• Assisted Living Facility in Green Springs, OH
• Providers in Green Springs, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.