Provider Demographics
NPI:1952673014
Name:EDEN HEALTH, LLC
Entity Type:Organization
Organization Name:EDEN HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER / CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDMOND
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, AE-C
Authorized Official - Phone:314-401-8844
Mailing Address - Street 1:2638 HIGHWAY 109
Mailing Address - Street 2:STE. 100
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63040-1182
Mailing Address - Country:US
Mailing Address - Phone:636-493-6027
Mailing Address - Fax:636-493-6029
Practice Address - Street 1:2638 HIGHWAY 109
Practice Address - Street 2:STE. 100
Practice Address - City:WILDWOOD
Practice Address - State:MO
Practice Address - Zip Code:63040-1182
Practice Address - Country:US
Practice Address - Phone:636-493-6027
Practice Address - Fax:636-452-7689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty