Eden Health Care Services Incorporated

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-078-184 Issued in NC

Legal business name

EDEN HEALTH CARE SERVICES INCORPORATED

Practice address

528 John Henry Lee Rd
Lumberton, NC 28358-9159

Phone

(910) 272-0162

Fax

(910) 272-0998

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Murphy Murphy

Title

Owner

Phone

(910) 739-7719

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831260165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 WINDSOR RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283587532",
            "telephone_number": "910-739-7719",
            "fax_number": "910-628-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 JOHN HENRY LEE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283589159",
            "telephone_number": "910-272-0162",
            "fax_number": "910-272-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HEALTH CARE SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MURPHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-739-7719",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-078-184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805633",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Carolina University
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Eastpointe Human Services
• Eckerd Corporation
• Eden Health Care Services Inc.
• Edward B. Ermini, MD PA
• Edward P. Jessup, DDS, Msco, PA
• Edward V Hickman DDS PA
• Henry T Edwards, M.ED, LAT, ATC
• Sherry L Edwards, PHD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.