Eden Haven LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

AS390314539 Issued in MI

Legal business name

EDEN HAVEN LLC

Practice address

317 N Sage St
Kalamazoo, MI 49006-4040

Phone

(269) 806-5459

NPI assigned

Jun 12, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Sibonginkosi Osei

Title

Owner/Licensee

Phone

(269) 806-5456

Specialties & licenses 2

Addresses

Tax ID family

Eden Haven LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Zimcare Foster Care Homes LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Kalamazoo, MI
  • NPI 1780844027
  NPD tax ID

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336401645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 KINGSTON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490015101",
            "telephone_number": "269-806-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N SAGE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064040",
            "telephone_number": "269-806-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OSEI",
        "authorized_official_first_name": "SIBONGINKOSI",
        "authorized_official_title_or_position": "OWNER/LICENSEE",
        "authorized_official_telephone_number": "269-806-5456",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AS390314539",
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Ebersberger, BT
• Sameer Yousuf Ebrahim
• Barbara A Eby, PT, DPT, MED
• Katelynn Eckl
• Melinda Sue Eckley, LLMSW
• Eric John Edewaard, MD
• Christopher Edicheria
• Alayne Edick
• Darwin Edmond
• Elizabeth Edmonds, DPT

• Foster Care Agency in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.