EDEN HOMECARE AGENCY LLC (NPI# 1073155875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073155875 |
| Entity Type | Organization |
| Organization Name | EDEN HOMECARE AGENCY LLC |
| Practice Address |
729 1st St Ste D Brentwood CA 94513-1303 |
| Mailing Address |
5432 Summerfield Dr Antioch CA 94531-8524 |
| Practice Telephone | 6125986078 |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2019-10-13 |
| Authorized Official Name | BRENDA MWESIGWA (MANAGING DIRECTOR) |
| Authorized Official Telephone | 6125986078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
729 1ST ST STE D |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019887 | Actioncare Inc | Home Health | 2000 Brentwood Rd, Brentwood, NY 11717-4653 | 2020-06-26 |
| 1821638040 | Mynexus Inc | Home Health | 105 Westwood Pl Ste 400, Brentwood, TN 37027-1015 | 2020-01-15 |
| 1346720398 | Abilishealth Nashville, LLC | Home Health | 750 Old Hickory Blvd Ste 2-270, Brentwood, TN 37027-4528 | 2018-08-20 |
| 1467807974 | Quality Touch Home Care Services | Home Health | 7251 Brentwood Blvd Apt 121, Brentwood, CA 94513-2081 | 2016-05-03 |
| 1871958322 | Joy Professional Home Care Services, LLC | Home Health | 74 Morton St, Brentwood, NY 11717-2224 | 2015-12-29 |
| 1841698768 | Patricia Lyons | Home Health | 77 Fran Street, Brentwood, NY 11717 | 2014-12-09 |
| 1548678808 | Abc Home Care Agency Inc. | Home Health | 12 Clarke St, Brentwood, NY 11717-2002 | 2014-07-30 |
| 1669887592 | Amavi Home Health and Hospice Care Services, Inc. | Home Health | 50 Sand Creek Rd Ste 236, Brentwood, CA 94513-7302 | 2014-06-30 |
| 1023316130 | Nice Home Health Agency | Home Health | 7710 Brentwood Blvd, Suite B1 Sunset Plaza, Brentwood, CA 94513-1043 | 2011-03-14 |
| 1275839730 | Therapy for All, LLC | Home Health | 1401 S Brentwood Blvd, Brentwood, MO 63144-1416 | 2011-02-01 |
| Find all providers in BRENTWOOD | ||||
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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.