# EDEN HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689130833
- **Authorized official:** HYE H SCARLETT (DIRECTOR)
- **Authorized official phone:** (240) 377-6760

## Contact information

- **Practice address:** 15120 ENTERPRISE CT STE 101, CHANTILLY, VA 20151-1274
- **Practice address phone:** (249) 377-6760
- **Mailing address:** 15120 ENTERPRISE CT STE 101, CHANTILLY, VA 20151-1274
- **Mailing address phone:** (240) 377-6760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2019
- **Last updated:** 04/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | HCO-2054 | VIRGINIA HOME CARE LICENSE | VA |