EDEN HEALTHCARE SERVICES, LLC (NPI# 1568788792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568788792 |
| Entity Type | Organization |
| Organization Name | EDEN HEALTHCARE SERVICES, LLC |
| Practice Address |
1010 Common St 2410 New Orleans LA 70112-2401 |
| Practice Telephone | 5045239444 |
| Practice Fax Number | 5045239445 |
| Mailing Telephone | 5045239444 |
| Mailing Fax Number | 5045239445 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | MR. DWAYNE D GRAY (OWNER/CEO) |
| Authorized Official Telephone | 5045239444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | LA | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | LA | Agencies |
| Street Address |
1010 COMMON ST 2410 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700857091 | Mark R Malouse | Pharmacist | 1010 Common St, Suite A1460, New Orleans, LA 70112-2401 | 2006-01-27 |
| 1376054890 | Victoria Hall Townsend | Social Worker | 1010 Common St, New Orleans, LA 70112-2401 | 2017-10-24 |
| 1790202059 | Malita Benoit | Social Worker | 1010 Common St, New Orleans, LA 70112-2401 | 2017-08-28 |
| 1528519774 | D'juan Terrence Dorsey Sr. | Social Worker | 1010 Common St, New Orleans, LA 70112-2401 | 2016-10-21 |
| 1609323500 | Devin Brocks | Community Health Worker | 1010 Common St, Suite 500, New Orleans, LA 70112-2401 | 2016-09-08 |
| 1588111355 | Brenda Claiborne | Licensed Practical Nurse | 1010 Common St, New Orleans, LA 70112-2401 | 2016-09-08 |
| 1902353063 | Anna Truehill | Community Health Worker | 1010 Common St, Suite 500, New Orleans, LA 70112-2401 | 2016-09-07 |
| 1982151957 | Christopher Gabriel Brown Sr. | Behavior Technician | 1010 Common St, Suite 500, New Orleans, LA 70112 | 2016-09-07 |
| 1710434931 | Diane Ferguson | Social Worker | 1010 Common St, Ste 500, New Orleans, LA 70112-2401 | 2016-09-06 |
| 1578010799 | Michelle Osborne Holmes-bolden | Counselor | 1010 Common St, Suite 500, New Orleans, LA 70112-2401 | 2016-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314082 | Brighter Perspectives Behavioral Services | Community/Behavioral Health | 4942 Gawain Dr, New Orleans, LA 70127-3224 | 2020-07-24 |
| 1275151904 | Brothers At Peace Youth Initiative | Community/Behavioral Health | 6221 S Claiborne Ave Ste 517, New Orleans, LA 70125-4142 | 2020-07-09 |
| 1528546066 | Ashley Jones | Community/Behavioral Health | 2208 Milan St, New Orleans, LA 70115-5452 | 2018-08-06 |
| 1043702814 | Unh Counseling Services, LLC | Community/Behavioral Health | 1050 S Jefferson Davis Pkwy Ste 239, New Orleans, LA 70125 | 2018-06-06 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1841796034 | Jasmine Rousell | Community/Behavioral Health | 200 S Broad St Ste 6, New Orleans, LA 70119-6447 | 2018-04-05 |
| 1497253579 | Inspiring Hope | Community/Behavioral Health | 701 Loyola Ave Ste 804, New Orleans, LA 70113-1912 | 2018-01-24 |
| 1417475849 | Delonder Johnson | Community/Behavioral Health | 8080 Crowder Blvd Ste A, New Orleans, LA 70127-1077 | 2017-09-06 |
| 1992235998 | Sunrise Counseling & Family Therapy, LLC | Community/Behavioral Health | 7240 Crowder Blvd Ste I, New Orleans, LA 70127-1922 | 2017-06-13 |
| 1962931055 | Willie Marsalis | Community/Behavioral Health | 2934 Cambronne St, New Orleans, LA 70118-3102 | 2017-06-12 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
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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.