1. Home
  2. Directory
  3. North Carolina
  4. Durham
  5. Assisted Living Facility
  6. NPI Profile

EDEN SPRING LIVING CENTER, INC.
NPI 1073866596
Assisted Living Facility in Durham, NC

Active since October 22, 2012CLIA 34D2199489 · Waiver
3812 BOOKER AVE, DURHAM, NC 27713(919) 544-0874(919) 544-0802 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eden Spring Living Center, Inc. NPPES

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

EDEN SPRING LIVING CENTER, INC. (NPI 1073866596) is a healthcare organization registered as an assisted living facility in Durham, North Carolina and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Jackson Odondi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073866596
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDEN SPRING LIVING CENTER, INC.
Location Address3812 BOOKER AVEDurham, NC 27713-1126
Mailing AddressPo Box 15927Durham, NC 27704-0927 · (919) 544-0874 · Fax (919) 544-0802
Phone(919) 544-0874
Fax(919) 544-0802
Organization SubpartNo
Authorized OfficialJackson OdondiAdministrator · (919) 949-3585
Enumeration DateOctober 22, 2012
✔ NPI 1073866596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · HAL-032-073
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
3812 BOOKER AVE, Durham, NC 27713
Open in Google Maps ↗

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 34D2199489

Eden Spring Living Center · Durham, NC
Active · expires Nov 8, 2026
CLIA Number34D2199489
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorJackson Odondi
Laboratory Phone(919) 544-0874
Laboratory LocationEden Spring Living Center3812 Booker Avenue, Durham, NC 27713
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JACKSON ODONDI
Custodial Care Facility (Adult Care Home)
3812 BOOKER AVE
DURHAM, NC 27713
Durham County (919) 544-0874

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 Spring Living Center, Inc.'s NPI number?

The NPI number for Eden Spring Living Center, Inc. is 1073866596. It was assigned to this organization in the NPPES registry on October 22, 2012.

Where is Eden Spring Living Center, Inc. located?

Eden Spring Living Center, Inc. is located at 3812 Booker Ave, Durham, NC 27713. The listed phone number is (919) 544-0874.

What is Eden Spring Living Center, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Eden Spring Living Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2199489) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eden Spring Living Center, Inc. was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.