Eden Management LTD

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EDEN MANAGEMENT LTD

Practice address

940 W Gordon Terrace
Chicago, IL 60613

Phone

(773) 472-1020

Fax

(773) 472-2985

NPI assigned

Aug 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Jon Hamblet

Title

President

Phone

(773) 572-6486

Specialties & licenses 1

Addresses

Other names 1

• Eden Supportive Living Doing business as

Locations

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1497949564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W GORDON TERRACE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60613",
            "telephone_number": "773-472-1020",
            "fax_number": "773-472-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W GORDON TERRACE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60613",
            "telephone_number": "773-472-1020",
            "fax_number": "773-472-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN MANAGEMENT LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HAMBLET",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-572-6486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Supportive Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David James Edelstein, MD
• David R. Edelstein, M.D.
• Steve R Edelstein, MD
• Paul Young Edemobi
• Eden Health Medical of Il LTD
• Cuoghi C Edens, MD
• Kara Eder, DPT
• Stephen Maurice Edfors, LCPC, CADC
• Edgar J Vargas, MD LTD
• Edgar Rios M.D., S.C

• Assisted Living Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.