Organization Active NPI

Eden Group Counseling

  • In Home Supportive Care Agency
  • Englewood, NJ
National Provider Identifier
1356701171
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on May 10, 2019

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

Authorized official

Name
Sherill L LymNPI 1871056481
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.