EDEN BEHAVIORAL HEALTH RESIDENTIAL TREATMENT CENTER (NPI# 1699289637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699289637 |
| Entity Type | Organization |
| Organization Name | EDEN BEHAVIORAL HEALTH RESIDENTIAL TREATMENT CENTER |
| Practice Address |
5460 Cleveland Ave Columbus OH 43231-4005 |
| Practice Telephone | 6143983470 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2018-01-23 |
| Authorized Official Name | WILLIAM EARL JENNINGS (CEO) |
| Authorized Official Telephone | 6143983470 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDEN COUNSELING CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
5460 CLEVELAND AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43231-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124281498 | Kindred Nursing Centers East LLC | Skilled Nursing Facility | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2008-07-08 |
| 1508475971 | Suzanne Lynn Colemantolbert | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-07-30 |
| 1407465263 | Richard Lamar Steele | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-07-28 |
| 1174132062 | Jessica Anne Jennings | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-07-27 |
| 1073134292 | Taiesha Raquel Black | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-04-28 |
| 1376162230 | Terence Hudson | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-04-10 |
| 1447889654 | Panola Russell | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-04-08 |
| 1134753684 | Shantelle Nichole Seward | Licensed Practical Nurse | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-02-24 |
| 1093347064 | New Season Counseling Center LLC | Substance Abuse Rehabilitation Facility | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-02-07 |
| 1790325561 | Minerva Park Behavioral Health | Substance Abuse Rehabilitation Facility | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495934 | Meghan Craig | Counselor | 3600 Oakstone Drive, Columbus, OH 43231 | 2020-07-23 |
| 1487147450 | Kelley Penny | Counselor | 5925 Cleveland Ave., Suite B, Columbus, OH 43231 | 2018-06-13 |
| 1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
| 1184113961 | Leslie Clark-felder | Community/Behavioral Health | 2525 Tiller Lane Ste110, Columbus, OH 43231 | 2018-05-07 |
| 1619466893 | Michael Henry II | Community/Behavioral Health | 2525 Tiller Lane Ste 110, Columbus, OH 43231 | 2018-05-03 |
| 1578051983 | Rhonda Clark | Community/Behavioral Health | 2525 Tiller Lane Lane Ste 110, Columbus, OH 43231 | 2018-05-01 |
| 1053819003 | Best Sunshine Transportation | Non-emergency Medical Transport (VAN) | 3434 Bufford Ct, Columbus, OH 43231 | 2018-01-24 |
| 1598275927 | Katherine Elaine Prater | Counselor | 5925 Cleveland Ave Ste B, Columbus, OH 43231 | 2017-10-12 |
| 1386164259 | Sento None Jah | Licensed Practical Nurse | 3088 Prosperity Lane, Columbus, OH 43231 | 2017-06-22 |
| 1528596749 | Yolanda Lawrence | Licensed Practical Nurse | 2916 Kilbourne Ave, Columbus, OH 43231 | 2017-06-01 |
| Find all providers in zip 43231 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785751 | Linden Focus | Clinic/Center | 1570 Cleveland Ave Ste 2, Columbus, OH 43211-2755 | 2018-10-09 |
| 1801337423 | Freedom Recovery LLC | Clinic/Center | 4998 W Broad St Ste 104, Columbus, OH 43228-1647 | 2017-03-15 |
| 1477835296 | Talbott Recovery Campus | Clinic/Center | 1200 Brookstone Ctr, Columbus, GA 31904 | 2011-09-19 |
| 1316238728 | Dr Mauricelmlei Millere, Dd Bmh Cpc Cc, Counseling Services | Clinic/Center | 3007 Quinby Dr, Columbus, OH 43232-4757 | 2011-04-20 |
| 1013139229 | Pavillon International Outpatient Services | Clinic/Center | 801 W Mills St, Columbus, NC 28722-8494 | 2007-05-03 |
| 1730792524 | Five Points Recovery LLC | Clinic/Center | 2575 W Broad St, Columbus, OH 43204-3333 | 2020-08-31 |
| 1659910685 | Teasia Tarver | Clinic/Center | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2019-12-20 |
| 1295379337 | Milestone Addiction Counseling LLC | Clinic/Center | 106 N Murray Hill Rd, Columbus, OH 43228-1524 | 2019-11-01 |
| 1225573090 | Ohio Addiction Recovery Center | Clinic/Center | 1151 S High St, Columbus, OH 43206-3434 | 2017-01-03 |
| 1043691504 | Ohio Addiction Recovery Center | Clinic/Center | 727 E Main St, Columbus, OH 43205-1760 | 2015-06-10 |
| Find all providers in COLUMBUS | ||||
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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.