NPIMap

Organization Active NPI

Eden Behavioral Health Residential Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
National Provider Identifier
1699289637
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EDEN BEHAVIORAL HEALTH RESIDENTIAL TREATMENT CENTER
Practice address
5460 Cleveland Ave
Columbus, OH 43231-4005
Phone
(614) 398-3470
NPI assigned
Nov 29, 2017
Organization subpart
Yes
Parent organization
EDEN COUNSELING CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
William Earl Jennings
Title
Ceo
Phone
(614) 398-3470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5460 Cleveland Ave
Columbus, OH 43231-4005

Mailing address

5460 Cleveland Ave
Columbus, OH 43231-4005

National Provider Directory

National Provider Directory
Tax ID family
Eden Behavioral Health Residential Treatment Center3 organizations share this tax ID, including this one
Part of
Eden Behavioral Health Residential Treatment Center

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1699289637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314005",
            "telephone_number": "614-398-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN BEHAVIORAL HEALTH RESIDENTIAL TREATMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDEN COUNSELING CENTER LLC",
        "enumeration_date": "2017-11-29",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-398-3470"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.