Eden Hinsdale LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5103756 Issued in IL

Legal business name

EDEN HINSDALE LLC

Practice address

10 N Washington St
Hinsdale, IL 60521-3462

Phone

(312) 446-6262

NPI assigned

Jul 22, 2015

Last updated

Jul 22, 2015By 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

Mr. Mitch Hamblet

Title

General Manager

Phone

(312) 446-6262

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1609251420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 N MENDELL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421222",
            "telephone_number": "312-446-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N WASHINGTON ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213462",
            "telephone_number": "312-446-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HINSDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "HAMBLET",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "312-446-6262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "5103756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hinsdale, IL
• Providers in Hinsdale, 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 Jul 22, 2015; 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.