EDEN CARE FACILITY LLC NPI 1205350105

NPI Information

NPI: 1205350105
Provider Name: EDEN CARE FACILITY LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4008 S RIVIERA ST
AURORA, CO
ZIP 80018
Phone: (720) 207-4930
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EDEN CARE FACILITY LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Aurora, CO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. EDEN CARE FACILITY LLC NPI is 1205350105. The provider is registered as an organization entity type.

The provider's business location address is:

4008 S RIVIERA ST
AURORA, CO
ZIP 80018-140
Phone: (720) 207-4930

The provider's authorized official is Michael Kidane-gebre .
The authorized official title is Executive Director and has the following contact phone number (720) 207-4930.

The enumeration date for this NPI number is 8/1/2017 and was last updated on 1/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	251C00000X	Day Training, Developmentally Disabled Services	No
2	347E00000X	Transportation Broker	No
3	373H00000X	Day Training/Habilitation Specialist	No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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