Eden House Home Care, Llc

LBN: Eden House Home Care, Llc
Eden House Home Care, Llc is an health care organization with primary practice located at 120 W Tyler Ave Ste 200 , West Memphis AR 72301-4221. The organization recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as the primary health care specialty. Eden House Home Care, Llc can be contacted via phone (870) 394-4818, or through Griffin, Ricky via phone (870) 394-4818.

Contact Information

Primary practice address
120 W Tyler Ave Ste 200 West Memphis AR 72301-4221
Fax: (870) 394-4806
Website:
Authorized official contact:
Name: Griffin, Ricky N.H.A.

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1912468711
LBN Legal business name Eden House Home Care, Llc
DBA Doing business as
Authorized official Griffin, Ricky N.H.A.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2019
Last updated Apr 10th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912468711 NPPES
Arkansas MEDICAID 224879732

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