Active NPI
Eden Healthcare Corporation
- Home Health Agency
- Indianapolis, IN
National Provider Identifier
1700590411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- EDEN HEALTHCARE CORPORATION
- Doing business as
- Eden Home Health
- Practice address
- 450 E 96TH St Ste 500
Indianapolis, IN 46240-3760 - Phone
- (317) 331-3827
- Fax
- (866) 712-1760
- NPI assigned
- Jan 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Moni I Bolarin, BSN, RN
- Title
- Director of Nursing
- Phone
- (317) 331-3827
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
450 E 96TH St Ste 500
Indianapolis, IN 46240-3760
Mailing address
450 E 96TH St Ste 500
Indianapolis, IN 46240-3760
Phone (317) 331-3827
Other names 1
- Eden Home Health
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Management Registered Nurse
- Westfield, IN
- NPI 1649881814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673222400000",
"number": "1700590411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 E 96TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462403760",
"telephone_number": "317-331-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E 96TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462403760",
"telephone_number": "317-331-3827",
"fax_number": "866-712-1760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN HEALTHCARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-07",
"status": "A",
"authorized_official_last_name": "BOLARIN",
"authorized_official_first_name": "MONI",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "DIRECTOR OF NURSING",
"authorized_official_telephone_number": "317-331-3827",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BSN, RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Email",
"affiliation": "N",
"endpointDescription": "Business Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HTML",
"address_1": "450 E 96th St Ste 500",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462403760",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Eden Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.