Edenic Care

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

EDENIC CARE

Practice address

5665 Chevrolet Blvd Apt 2
Parma, OH 44130-8714

Phone

(216) 224-1573

NPI assigned

Oct 11, 2022

Organization subpart

No

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

Authorized official

Name

Jasmine AlexanderNPI 1386369718

Title

Owner

Phone

(216) 224-1573

Specialties & licenses 1

Addresses

Other names 1

• Jasmine Alexander Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine Alexander

  • Community/Behavioral Health Agency
  • Parma, OH
  • NPI 1386369718

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1669197760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 CHEVROLET BLVD APT 2",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441308714",
            "telephone_number": "216-224-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 CHEVROLET BLVD APT 2",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441308714",
            "telephone_number": "216-224-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDENIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-224-1573"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasmine Alexander",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Ann R Dzurec, PHARMD
• Diane M Dzurik, CRNA
• Erica Brooke Easley, RN
• Eastwest Primary Care LLC
• Rayshawn Eberhardt
• James Joseph Edwards, MD
• Johnnie Edwards
• Lorri Ann Effron, M.D.
• Rawad El Ghoul, M.D.
• Elite Women Care

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Parma, OH
• Providers in Parma, OH by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.