# HAMILTON COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Eden of Las Colinas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982698742
- **Authorized official:** SOON BURNAM (TREASURER OF MANAGEMENT COMPANY)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 2101 WEST NORTHGATE DR., IRVING, TX 75062-2637
- **Practice address phone:** (972) 255-4460
- **Practice address fax:** (972) 252-1036
- **Mailing address:** 2101 W NORTHGATE DR, IRVING, TX 75062-2650
- **Mailing address phone:** (972) 255-4460
- **Mailing address fax:** (972) 258-8084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 110791 | TX | — |
| 314000000X | Skilled Nursing Facility | 130536 | TX | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 09/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001004663 | — | TX |
| 01 | — | 159891401 | MEDICAID CO B | TX |