Eden HR LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EDEN HR LLC

Doing business as

Eden Health Restored

Practice address

175 S 3Rd St
Columbus, OH 43215-5134

Phone

(740) 780-5057

NPI assigned

Dec 4, 2023

Last updated

Dec 4, 2023By 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

Lataya De Jesus, FNPNPI 1154071264

Title

Founder/Ceo

Phone

(740) 780-5057

Specialties & licenses 5

Addresses

Other names 1

• Eden Health Restored Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lataya De Jesus, NP

  • Family Nurse Practitioner
  • Belpre, OH
  • NPI 1154071264
  NPD Authorized official

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1699542399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "VINCENT",
            "state": "OH",
            "postal_code": "457840228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S 3RD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155134",
            "telephone_number": "740-780-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "LATAYA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "740-780-5057",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Health Restored",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven M. Edell, APRN.CNP
• John Edelstein, PHARMD, BCPS
• Eden Behavioral Health Residential Treatment Center
• Eden Counseling Center LLC (Eden Counseling Centers LLC)
• Eden Counseling Centers LLC
• Dawn Michele Eden, L.P.N.
• Esthee Uwana Edet
• Kristin Edgar, MS, RD, LD
• Trent Evan Edgar, DO
• Andrea Edge

• Family Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.