Eden Village Care Center

LBN: Eden Retirement Center, Inc.
Eden Village Care Center is an health care organization with primary practice located at 400 S Station Rd , Glen Carbon IL 62034-2743. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Eden Retirement Center, Inc. can be contacted via phone (618) 288-5014, or through Breihan, Elizabeth A via phone (618) 288-5014.

Contact Information

Primary practice address
400 S Station Rd Glen Carbon IL 62034-2743
Phone: (618) 288-5014
Fax: (618) 288-0206
Website:
Map and Directions
Authorized official contact:
Name: Breihan, Elizabeth A
Phone: (618) 288-5014

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0023382 Illinois

Profile Details

NPI number 1073652921
LBN Legal business name Eden Retirement Center, Inc.
DBA Doing business as Eden Village Care Center
Authorized official Breihan, Elizabeth A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Aug 17th, 2018 - about 8 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 1073652921 NPPES
Illinois Other 0023382 FACILITY LICENSE #

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