Active NPI
Eden Home Healthcare, LLC
- Home Health Agency
- Lincolnwood, IL
National Provider Identifier
1720225170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011001
- Legal business name
- EDEN HOME HEALTHCARE, LLC
- Practice address
- 7300 N Cicero Ave
Suite 209
Lincolnwood, IL 60712-1641 - Phone
- (847) 679-2700
- Fax
- (847) 679-2703
- NPI assigned
- Jan 7, 2009
- 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
- Mr. Woo Sung Kim, R.N.
- Title
- Administrator
- Phone
- (847) 679-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1011001 | IL | Primary |
Addresses
Primary practice location
7300 N Cicero Ave
Suite 209
Lincolnwood, IL 60712-1641
Mailing address
7300 N Cicero Ave
Suite 209
Lincolnwood, IL 60712-1641
Phone (847) 679-2700
National Provider Directory
National Provider DirectoryLocations
7300 N Cicero Ave
Ste 209
Lincolnwood, IL 60712
Phone (847) 679-2700
1019 W Wise Rd
Ste 101
Schaumburg, IL 60193
Phone (847) 670-2700
16 E Schaumburg Rd
Ste 100
Schaumburg, IL 60194
Phone (847) 679-2700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231286400000",
"number": "1720225170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 N CICERO AVE",
"address_2": "SUITE 209",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121641",
"telephone_number": "847-679-2700",
"fax_number": "847-679-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 N CICERO AVE",
"address_2": "SUITE 209",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121641",
"telephone_number": "847-679-2700",
"fax_number": "847-679-2703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN HOME HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-07",
"last_updated": "2009-01-07",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "WOO",
"authorized_official_middle_name": "SUNG",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "847-679-2700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1011001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.