Provider Demographics
NPI:1013459858
Name:EDEN HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:EDEN HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:AYENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-261-7570
Mailing Address - Street 1:3190 S VAUGHN WAY # 550
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3512
Mailing Address - Country:US
Mailing Address - Phone:303-261-7570
Mailing Address - Fax:
Practice Address - Street 1:3190 S VAUGHN WAY # 550
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3512
Practice Address - Country:US
Practice Address - Phone:303-261-7570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health