Provider Demographics
NPI:1568116200
Name:AIDEN HEALTHCARE LLC
Entity Type:Organization
Organization Name:AIDEN HEALTHCARE LLC
Other - Org Name:FOREST PARK HEALTHCARE AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO & MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-522-1120
Mailing Address - Street 1:1881 TRAVERSE PARKWAY
Mailing Address - Street 2:SUITE E #112
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043
Mailing Address - Country:US
Mailing Address - Phone:714-818-2980
Mailing Address - Fax:
Practice Address - Street 1:9450 SW COMMERCE CIR
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-8855
Practice Address - Country:US
Practice Address - Phone:971-415-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based