Eden Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EDEN HOME CARE LLC

Practice address

15120 Enterprise CT Ste 101
Chantilly, VA 20151-1274

Phone

(249) 377-6760

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Hye H Scarlett

Title

Director

Phone

(240) 377-6760

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Eden Home Care LLC2 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.

• Eden Senior Care Services LLC

  • Adult Day Care Clinic/Center
  • Chantilly, VA
  • NPI 1053876805
  NPD tax ID

Locations

Practitioners 2

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

• Ucheck Mboh Marie Louise

  • Nurse's Aide
  • Washington, DC
  • NPI 1497485734
  NPD
• Grace Nayah Momfor

  • Nurse's Aide
  • Washington, DC
  • NPI 1356070676
  NPD

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1689130833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15120 ENTERPRISE CT STE 101",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511274",
            "telephone_number": "240-377-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15120 ENTERPRISE CT STE 101",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511274",
            "telephone_number": "249-377-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "SCARLETT",
        "authorized_official_first_name": "HYE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-377-6760"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HOME CARE LICENSE",
            "identifier": "HCO-2054",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Renee Eastman, PHARMD
• Trish Suzanne Ebel, NP
• Annette Eccles, NCTMBW, LMT
• Randy L Eccles, MD
• Katherine Eckl
• Eden Senior Care Services LLC
• Linda Egbeh
• Jill Eisner, APRN
• Elite Home Health Care
• Sarah Grace Elkalban

• Home Health Agency in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.