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EDEN HAVEN LLC NPI 1336401645


NPI Information

NPI: 1336401645
Provider Name: EDEN HAVEN LLC
Classification: Foster Care Agency - 253J00000X
Entity Type: Organization
Address:
317 N SAGE ST
KALAMAZOO, MI
ZIP 49006
Phone: (269) 806-5459
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EDEN HAVEN LLC is a foster care agency in Kalamazoo, MI. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. EDEN HAVEN LLC NPI is 1336401645. The provider is registered as an organization entity type.

The provider's business location address is:

317 N SAGE ST
KALAMAZOO, MI
ZIP 49006-040
Phone: (269) 806-5459

The provider's authorized official is Sibonginkosi Osei .
The authorized official title is Owner/licensee and has the following contact phone number (269) 806-5456.

The enumeration date for this NPI number is 6/12/2012 and was last updated on 7/21/2022.


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 Taxonomy Specialization License Number License State Primary
1253J00000XFoster Care AgencyMICHIGANNo
2253J00000XFoster Care AgencyAS390314539MICHIGANYes

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: 5/5/2024

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