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EDEN ADULT COMMUNITY SUPPORT CENTER
NPI 1043643919
Community/Behavioral Health in San Leandro, CA

Active since August 15, 2013
2045 FAIRMONT DR, SAN LEANDRO, CA 94578(510) 667-7500 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eden Adult Community Support Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDEN ADULT COMMUNITY SUPPORT CENTER (NPI 1043643919) is a healthcare organization registered as a community/behavioral health in San Leandro, California and active in the NPI registry since August 2013. The organization lists Carla Danby, Clinic Supervisor, as its authorized official.

NPPES Registry Identity

NPI1043643919
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEDEN ADULT COMMUNITY SUPPORT CENTER
Location Address2045 FAIRMONT DRSan Leandro, CA 94578-1088
Mailing Address2045 Fairmont DrSan Leandro, CA 94578-1088
Phone(510) 667-7500
Organization SubpartNo
Authorized OfficialCarla DanbyClinic Supervisor · (510) 667-7518
Enumeration DateAugust 15, 2013
✔ NPI 1043643919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · 831171
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2045 FAIRMONT DR, San Leandro, CA 94578
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SADAYA ZIMMERLE L.C.S.W., MSW
Social Worker (Clinical)
2045 FAIRMONT DR, EDEN CSC
SAN LEANDRO, CA 94578
Alameda County (510) 667-3913
MISS JACQUELINE M SCHIANO
Rehabilitation Counselor
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-7455
ALAMEDA COUNTY
Community/Behavioral Health
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (800) 878-1313
MARIAM TOOR
Student in an Organized Health Care Education/Training Program
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (151) 066-7540
DR. PETER LAWRENCE LAVALLE M.D.
Psychiatry & Neurology (Psychiatry)
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-7508
DR. LORNA BLAND MD
Psychiatry & Neurology (Psychiatry)
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (251) 363-1833
CATHERINE CHEN
Counselor (Mental Health)
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-7540
KEVIN KILLGORE
Social Worker (Clinical)
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-7540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eden Adult Community Support Center's NPI number?

The NPI number for Eden Adult Community Support Center is 1043643919. It was assigned to this organization in the NPPES registry on August 15, 2013.

Where is Eden Adult Community Support Center located?

Eden Adult Community Support Center is located at 2045 Fairmont Dr, San Leandro, CA 94578. The listed phone number is (510) 667-7500.

What is Eden Adult Community Support Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Eden Adult Community Support Center was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.