EDEN OAKS HEALTHCARE SERVICES LLC (NPI# 1457834483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457834483 |
Entity Type | Organization |
Organization Name | EDEN OAKS HEALTHCARE SERVICES LLC |
Practice Address |
20610 Cypress Breeze Dr Cypress TX 77433-1728 |
Practice Telephone | 8328664198 |
Mailing Telephone | 8328664198 |
Enumeration Date | 2018-09-14 |
Last Update Date | 2018-09-15 |
Authorized Official Name | SUSAN OLUMORO (CEO) |
Authorized Official Telephone | 8328664198 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | CIGNA INSURANCE | U63858689-02 | 01 |
Street Address |
20610 CYPRESS BREEZE DR |
City | CYPRESS |
State | TX |
Zip Code | 77433-1728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447894027 | Susan Olumoroti | Registered Nurse | 20610 Cypress Breeze Dr, Cypress, TX 77433-1728 | 2019-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770108185 | Tanisha Cosby Harrell | Counselor | 9212 Fry Road Ste 105, Pmb 208, Cypress, TX 77433 | 2020-06-11 |
1548896475 | Fresenius Medical Care Spring Cypress Home, LLC | Clinic/Center | 20435 Cypresswood Dr, Cypress, TX 77433 | 2020-03-23 |
1144854803 | Cypress Dental,p.a | Clinic/Center | 17823 Longenbaugh Dr, Suite D, Cypress, TX 77433 | 2020-03-02 |
1366082752 | Alicia (ali) Jackson | Social Worker | 15040 Fairfield Place, Cypress, NA 77433 | 2020-01-14 |
1235771395 | Gabriela Antonieta Palacios | Dentist | 8943 Texas Honeysuckle Trail, Cypress, TX 77433 | 2019-10-10 |
1902456403 | Vera Lee Todd | Technician | 11507 Timberly Park Lane, Cypress, TX 77433 | 2019-09-17 |
1609422898 | Florentino Zuniga Jr. | Pharmacist | 28550 Us-290, Cypress, TX 77433 | 2019-08-13 |
1164084794 | Jaclyn D Satchel | Social Worker | 19906 Virginia Falls Lane, Cypress, TX 77433 | 2019-07-03 |
1942860234 | Focal Point Eye Care LLC | Clinic/Center | 26960 Hempstead Hwy, Cypress, TX 77433 | 2019-06-18 |
1598328759 | Costco Wholesale Corporation | Pharmacy | 26960 Northwest Fwy, Cypress, TX 77433 | 2019-04-15 |
Find all providers in zip 77433 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811540404 | Stephanie M Taylor | Counselor | 20719 Grayden Dr, Cypress, TX 77433-7677 | 2019-07-22 |
1083123582 | Leslie L Austin | Counselor | 18062 Fm 529 Rd Unit 130, Cypress, TX 77433-1168 | 2017-09-27 |
1043749641 | Anna Marie Lonetti | Counselor | 5712 Camp St., Cypress, CA 90630 | 2017-06-07 |
1326596289 | Jared Morgan Broussard | Counselor | 13602 Jarvis Rd, Cypress, TX 77429-3802 | 2016-09-20 |
1336695766 | Carmen Dennistoun | Counselor | 14022 Falcon Heights Dr, Cypress, TX 77429-8034 | 2016-08-26 |
1932559853 | Teresa Bolo Novales | Counselor | 4143 Avenida Madrid, Cypress, CA 90630-3405 | 2016-06-22 |
1861864894 | Rhabia Jean Junaid | Counselor | 11123 Mccracken Cir Ste C, Cypress, TX 77429-4461 | 2015-10-29 |
1871992727 | Angela Behland | Counselor | 17774 Cypress Rosehill Rd Ste 400, Cypress, TX 77429-7815 | 2014-08-16 |
1467889865 | Kimberly D Patterson | Counselor | 14144 Mueschke Rd., Cypress, TX 77433 | 2013-09-30 |
1548566417 | James Bush | Counselor | 5892 Karen Ave, Cypress, CA 90630-3312 | 2011-02-09 |
Find all providers in CYPRESS |
Please comment or provide details below to improve the information on EDEN OAKS HEALTHCARE SERVICES LLC.
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.