Organization Active NPI

The Garden of Eden 2019 Corp

  • Adult Day Care Clinic/Center
  • Naples, FL
National Provider Identifier
1609540806
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
THE GARDEN OF EDEN 2019 CORP
Practice address
4123 Tamiami Trail E
Naples, FL 34112
Phone
(786) 985-4601
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Mrs. Naydith Alvarez
Title
Operator
Phone
(786) 985-4601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

4123 Tamiami Trail E
Naples, FL 34112

Mailing address

4123 Tamiami Trail E
Naples, FL 34112
Phone (786) 985-4601

Other identifiers 1

IdentifierTypeStateIssuer
9506MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
The Garden of Eden 2019 Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4123 Tamiami TRL E
Naples, FL 34112
Phone (786) 985-4601

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1609540806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 TAMIAMI TRAIL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34112",
            "telephone_number": "786-985-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 TAMIAMI TRAIL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34112",
            "telephone_number": "786-985-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GARDEN OF EDEN 2019 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "NAYDITH",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "786-985-4601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9506",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.