EDEN SENIOR CARE SERVICES LLC (NPI# 1053876805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053876805 |
| Entity Type | Organization |
| Organization Name | EDEN SENIOR CARE SERVICES LLC |
| Practice Address |
15120 Enterprise Ct Ste 101 Chantilly VA 20151-1274 |
| Mailing Address |
6606 Okeefe Knoll Ct Fairfax Station VA 22039-1864 |
| Practice Telephone | 2403776760 |
| Mailing Telephone | 5714399005 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | MRS. ISABEL H SCARLETT JR. (CEO) |
| Authorized Official Telephone | 7038287545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
15120 ENTERPRISE CT STE 101 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457908196 | Eden Home Care, LLC | In Home Supportive Care | 15120 Enterprise Ct Ste 101, Chantilly, VA 20151-1274 | 2019-08-19 |
| 1689130833 | Eden Home Care LLC | Home Health | 15120 Enterprise Ct Ste 101, Chantilly, VA 20151-1274 | 2019-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972951051 | Agape Health Management Inc | Clinic/Center | 3850 Dulles South Ct, Suite A, Chantilly, VA 20151-1027 | 2016-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674199 | Brighter Prospective Residential Services, LLC | Clinic/Center | 2509 Tonoka Rd, Richmond, VA 23223-1739 | 2020-09-19 |
| 1396368288 | Tisha L Gholson | Clinic/Center | 4600 Winterbourne Dr, South Chesterfield, VA 23803-1727 | 2020-05-26 |
| 1457973588 | Ralpheana Denee Lawton | Clinic/Center | 2317 Richmond Ave, Portsmouth, VA 23704 | 2020-05-12 |
| 1861024317 | Semmes Ave Adult Daycare | Clinic/Center | 1500 Semmes Ave, Richmond, VA 23224-2072 | 2020-02-12 |
| 1033749445 | Vector Pathways LLC | Clinic/Center | 1300 Hopeman Pkwy, Waynesboro, VA 22980-1950 | 2020-01-24 |
| 1720618184 | Egbert Charles Mcfarlane | Clinic/Center | 1314 E Nine Mile Rd, Henrico, VA 23075-2306 | 2020-01-23 |
| 1205472586 | Oneda Care LLC | Clinic/Center | 5900 Brook Rd, Richmond, VA 23227-2258 | 2019-11-21 |
| 1760039010 | Christine Blair-wallace | Clinic/Center | 788 Bellwood Rd, Hampton, VA 23666-2806 | 2019-08-21 |
| 1801443403 | Cura Solutions LLC | Clinic/Center | 4312 Welford Ave, Richmond, VA 23234-2357 | 2019-08-20 |
| 1336793736 | Ebenezery Adult Day Services, LLC | Clinic/Center | 6321 Jahnke Rd, Richmond, VA 23225-4142 | 2019-07-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.