Active NPI
Eden Group Counseling
- In Home Supportive Care Agency
- Englewood, NJ
National Provider Identifier
1356701171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- EDEN GROUP COUNSELING
- Practice address
- 324 Lantana Ave
Englewood, NJ 07631-1510 - Phone
- (201) 569-2424
- Fax
- (201) 569-2433
- NPI assigned
- Mar 7, 2016
- 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
- Sherill L Lym
- Title
- Executive Director
- Phone
- (201) 788-9665
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Child Mental Illness Respite Care | 385HR2055X |
Addresses
Primary practice location
324 Lantana Ave
Englewood, NJ 07631-1510
Mailing address
324 Lantana Ave
Englewood, NJ 07631-1510
Phone (201) 569-2424
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Englewood, NJ
- NPI 1871056481
-
- Home Health Agency
- Englewood, NJ
- NPI 1427418292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557446400000",
"number": "1356701171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 LANTANA AVE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311510",
"telephone_number": "201-569-2424",
"fax_number": "201-569-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 LANTANA AVE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311510",
"telephone_number": "201-569-2424",
"fax_number": "201-569-2433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN GROUP COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-07",
"last_updated": "2019-05-10",
"status": "A",
"authorized_official_last_name": "LYM",
"authorized_official_first_name": "SHERILL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "201-788-9665"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.