Eden Express LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

EDEN EXPRESS LLC

Practice address

2626 Kinnett Dr SW
Lilburn, GA 30047-5710

Phone

(470) 469-4233

NPI assigned

Sep 24, 2026

Last updated

Sep 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eden Bogale

Title

Owner

Phone

(470) 469-4233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1538072335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 KINNETT DR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475710",
            "telephone_number": "470-469-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 KINNETT DR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475710",
            "telephone_number": "470-469-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "BOGALE",
        "authorized_official_first_name": "EDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-469-4233"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.