Eden Builders Inc

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

EDEN BUILDERS INC

Practice address

2817 Aspen Lake Dr NE
Blaine, MN 55449-3100

Phone

(651) 207-7964

NPI assigned

Nov 19, 2019

Organization subpart

No

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

Authorized official

Name

Lisa Peck

Title

Office Manager

Phone

(651) 636-0705

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sasha Anderson

  • Home Modifications Contractor
  • Blaine, MN
  • NPI 1760179295
  NPD

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1811533458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550380476",
            "telephone_number": "651-341-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ASPEN LAKE DR NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554493100",
            "telephone_number": "651-207-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN BUILDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-636-0705"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dube
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• Home Modifications Contractor in Blaine, MN
• Providers in Blaine, MN by specialty
• Home Modifications Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.