Eden Homecare Center,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EDEN HOMECARE CENTER,LLC

Practice address

7700 Little River Tpke Ste 403
Annandale, VA 22003-2406

Phone

(571) 622-1166

Fax

(571) 441-6226

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Steve Huu Dang, HOME HEALTH CARE

Title

Ceo

Phone

(571) 354-1015

Specialties & licenses 1

Addresses

Other names 1

• Eden Homecare Center, LLC Doing business as

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1811614035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TPKE STE 403",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032406",
            "telephone_number": "571-622-1166",
            "fax_number": "571-441-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TPKE STE 403",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032406",
            "telephone_number": "571-622-1166",
            "fax_number": "571-441-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOMECARE CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "HUU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-354-1015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HOME HEALTH CARE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Homecare Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Francis Dutson, DDS
• Lindsay Marie Eberling
• Joanna Bosik Eddy, MA, IBCLC
• Amber Lauren Edelman, FNP-C
• Eden ABA Therapy LLC
• Eden Transportation LLC
• Cassie Edgreen, MS, OTR/L
• Lesley Edwards-Gaither, PH.D. CCC SLP
• Timothy James Egan, M.D.
• Mark Eugene Egber, DDS

• Home Health Agency in Annandale, VA
• Providers in Annandale, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.