1. Home
  2. Directory
  3. California
  4. Concord
  5. Home Health
  6. NPI Profile

EDENCARE HOME HEALTH AGENCY
NPI 1073155875
Home Health in Concord, CA

Active since October 13, 2019CLIA 05D2284781 · Waiver
2455 BATES AVE STE A, CONCORD, CA 94520(925) 202-0875(925) 481-3820 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 7, 2023, Oct 13, 2019 (2 updates tracked since 2019).

About Edencare Home Health Agency NPPES

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

EDENCARE HOME HEALTH AGENCY (NPI 1073155875) is a healthcare organization registered as a home health in Concord, California and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through June 27, 2027, maintains a secondary practice location in Concord, and lists Brenda Mwesigwa, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1073155875
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameEDENCARE HOME HEALTH AGENCY
Location Address2455 BATES AVE STE AConcord, CA 94520-8502
Mailing Address2455 Bates Ave Ste AConcord, CA 94520-8502 · (925) 202-0875 · Fax (925) 481-3820
Phone(925) 202-0875
Fax(925) 481-3820
Organization SubpartNo
Authorized OfficialBrenda MwesigwaManaging Director · (925) 202-0875
Enumeration DateOctober 13, 2019
Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1073155875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
2455 BATES AVE STE A, Concord, CA 94520
Open in Google Maps ↗

Secondary Practice Location 1

Location 12455 Bates Ave Ste AConcord, CA 94520-8502 · Phone (925) 202-0875 · Fax (925) 481-3820

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2284781

Edencare Home Health Agency · Concord, CA
Active · expires Jun 27, 2027
CLIA Number05D2284781
Laboratory TypeHome Health Agency
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorKashif N. Abdullah
Laboratory Phone(925) 202-0875
Laboratory LocationEdencare Home Health Agency2455 Bates Avenue, Suite A, Concord, CA 94520
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Edencare Home Health Agency's NPI number?

The NPI number for Edencare Home Health Agency is 1073155875. It was assigned to this organization in the NPPES registry on October 13, 2019.

Where is Edencare Home Health Agency located?

Edencare Home Health Agency is located at 2455 Bates Ave Ste A, Concord, CA 94520. The listed phone number is (925) 202-0875.

What is Edencare Home Health Agency's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Edencare Home Health Agency hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2284781) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edencare Home Health Agency was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.