EDEN ADULT CARE FACILITY, INC. (NPI# 1528366119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528366119 |
| Entity Type | Organization |
| Organization Name | EDEN ADULT CARE FACILITY, INC. |
| Practice Address |
216 S 98th Way Mesa AZ 85208-1874 |
| Mailing Address |
21771 E Orion Way Queen Creek AZ 85142-6448 |
| Practice Telephone | 4803571939 |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |
| Authorized Official Name | MICHAEL KILLEEN (CEO) |
| Authorized Official Telephone | 4808136483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
ALH 2291 | AZ | Ambulatory Health Care Facilities |
| Street Address |
216 S 98TH WAY |
| City | MESA |
| State | AZ |
| Zip Code | 85208-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1083116529 | Hailey Jo Kools | Specialist/Technologist | 11201 N Tatum Boulevard, Phoenix, AZ 85208 | 2018-03-01 |
| 1356881486 | Amber E Anderson | Nurse Practitioner | 1157 S Crismon Rd Ste 101, Mesa, AZ 85208 | 2017-03-08 |
| 1609264464 | Desert House Assisted Living LLC | Assisted Living Facility | 11055 E Grove St, Mesa, AZ 85208 | 2015-01-02 |
| 1366881872 | Freedom Az, LLC | Non-emergency Medical Transport (VAN) | 10682 E Oasis Dr, Mesa, AZ 85208 | 2013-06-18 |
| 1588922884 | Aaron David Hallstrom | Counselor | 158 S Hassett Cir, Mesa, AZ 85208 | 2012-04-25 |
| 1568604593 | David Berrey | Internal Medicine | 1917 South Crismon Rd., Mesa, AZ 85208 | 2009-04-06 |
| 1740475946 | Jackton Simiyu Khausi | Occupational Therapist | 7255 E Broadway, Mesa, AZ 85208 | 2007-09-11 |
| 1881896900 | Kate N Mullowney | Pharmacist | 10238 E Hampton Avenue, Suite 107, Mesa, AZ 85208 | 2007-06-01 |
| Find all providers in zip 85208 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1700398682 | Advanced Metabolic Testing LLC | Clinic/Center | 1425 S Greenfield Rd Ste 101, Mesa, AZ 85206-5505 | 2017-10-31 |
| 1417349051 | Lifestyle Health and Wellness | Clinic/Center | 65 E 1st Ave, Ste 101, Mesa, AZ 85210-1456 | 2015-02-19 |
| 1225326796 | Marc Community Resources, Inc. | Clinic/Center | 737 W Guadalupe Rd, Suite 123 and Suite 124, Mesa, AZ 85210-7703 | 2011-07-18 |
| 1588992820 | Ernesta Pearl | Clinic/Center | 2836 S 94th St, Mesa, AZ 85212-1412 | 2009-11-25 |
| 1881826766 | Grace Home Health Care, LLC | Clinic/Center | 1930 S Alma School Rd Ste B206, Mesa, AZ 85210-3041 | 2009-08-11 |
| 1699912360 | All Sports Foundation, Inc | Clinic/Center | 322 E Brown Rd Ste 103, Mesa, AZ 85201-3563 | 2009-01-16 |
| 1801044912 | Concentra Health Services, Inc. | Clinic/Center | 1959 S. Val Vista Road, Suite 106, Mesa, AZ 85204 | 2008-09-03 |
| 1982884425 | Harmony Circle Assisted Living | Clinic/Center | 1841 E Harmony Cir, Mesa, AZ 85204-6037 | 2007-11-13 |
| 1871782490 | American Current Care of Arizona Pa | Clinic/Center | 1710 West Southern, Mesa, AZ 85202 | 2007-10-19 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on EDEN ADULT CARE FACILITY, INC..
| 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.