Organization Active NPI

Eden Home Care Services Inc

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1760873103
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2015L001 Issued in NY
Legal business name
EDEN HOME CARE SERVICES INC
Practice address
353 Linwood St
Brooklyn, NY 11208-2117
Phone
(718) 355-9755
Fax
(718) 355-9756
NPI assigned
Feb 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Mr. Wayne D Peters
Title
President
Phone
(718) 355-9755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2015L001 NY Primary

Addresses

Primary practice location

353 Linwood St
Brooklyn, NY 11208-2117

Mailing address

353 Linwood St
Brooklyn, NY 11208-2117
Phone (718) 355-9755

National Provider Directory

National Provider Directory

Locations

353 Linwood St
Brooklyn, NY 11208
Phone (718) 355-9755

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1760873103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 LINWOOD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082117",
            "telephone_number": "718-355-9755",
            "fax_number": "718-355-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 LINWOOD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082117",
            "telephone_number": "718-355-9755",
            "fax_number": "718-355-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOME CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-355-9755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2015L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.