EDEN II ENTERPRISES, LLC (NPI# 1447403118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447403118 |
| Entity Type | Organization |
| Organization Name | EDEN II ENTERPRISES, LLC |
| Other Organization Name | CONCHO HEALTH & REHABILITATION CENTER |
| Practice Address |
613 Eaker St Eden TX 76837 |
| Mailing Address |
Po Box 838 Eden TX 76837-0838 |
| Practice Telephone | 3258695531 |
| Practice Fax Number | 3258695152 |
| Mailing Telephone | 3258695531 |
| Mailing Fax Number | 3258695152 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2015-02-06 |
| Authorized Official Name | GARY BLAKE (MANAGING MEMBER) |
| Authorized Official Telephone | 8173488841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001016458 | 05 | |
| TX | STATE VENDOR | 005173 | 01 |
| Other Name | Type Code |
|---|---|
| Concho Health & Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
613 EAKER ST |
| City | EDEN |
| State | TX |
| Zip Code | 76837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989595 | Provider Healthcare Services of Concho Lp | Skilled Nursing Facility | 613 Eaker St, Eden, TX 76837 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912497579 | Girly Orlando Tubayan | Physical Therapy Assistant | 613 Eaker Street, Eden, TX 76837 | 2018-05-18 |
| 1134252570 | City of Eden | Ambulance | 102 Gordon St., Eden, TX 76837 | 2007-03-14 |
| 1700862166 | Pedro Castro | General Practice | 551 Eaker Street, Eden, TX 76837 | 2005-12-19 |
| 1649815283 | Jakalyn Jane Gossett | Physician Assistant | 614 Eaker St, Eden, TX 76837 | 2019-11-07 |
| 1265883540 | Tonya Rochelle Boyett | Social Worker | 551 Eaker Street, Frontera Healthcare Network, Eden, TX 76837 | 2016-06-28 |
| 1649557737 | Concho County Hospital | General Acute Care Hospital | 614 Eaker St., Suite 100, Eden, TX 76837 | 2011-11-03 |
| 1477855013 | Eden Ems Inc | Ambulance | 102 Gordon St, Eden, TX 76837-0000 | 2010-12-02 |
| 1205375037 | Frontera Healthcare Network | Clinic/Center | 212 Jackson Street, Eden, TX 76837-0246 | 2017-02-13 |
| 1861510927 | Dalyn J Johnson | Dentist | 212 Jackson St., Eden, TX 76837-0246 | 2007-03-27 |
| 1528258555 | Frontera Healthcare Network | Clinic/Center | 551 Eaker Street, Eden, TX 76837-0889 | 2007-07-26 |
| Find all providers in zip 76837 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932146933 | Arbor Park Health Care Center, Inc | Skilled Nursing Facility | 2806 George St, Eden, NY 14057-1205 | 2006-05-31 |
| 1710989595 | Provider Healthcare Services of Concho Lp | Skilled Nursing Facility | 613 Eaker St, Eden, TX 76837 | 2005-08-11 |
| 1720088339 | Unc Rockingham Health Care, Inc. | Skilled Nursing Facility | 205 E Kings Hwy, Eden, NC 27288-5239 | 2005-07-26 |
| 1508993320 | Absolut Center for Nursing and Rehabilitation At Eden, LLC | Skilled Nursing Facility | 2806 George St, Eden, NY 14057-1205 | 2007-02-28 |
| 1174658025 | Concho County Hospital | Skilled Nursing Facility | 614 Eaker Street, Eden, TX 76837-0987 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
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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.