EDEN CARE FACILITY LLC
NPI 1205350105
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Centennial, CO

Active since August 01, 2017
7009 S POTOMAC ST # 108, CENTENNIAL, CO 80112(720) 594-8163(720) 222-6269 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2026, Jan 26, 2021, May 7, 2020 and 1 more (4 updates tracked since 2017).

About Eden Care Facility Llc NPPES

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

EDEN CARE FACILITY LLC (NPI 1205350105) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Centennial, Colorado and active in the NPI registry since August 2017. The organization lists Ginny Lynn Blalock, Coo/ Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205350105
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameEDEN CARE FACILITY LLC
Location Address7009 S POTOMAC ST # 108Centennial, CO 80112-4037
Mailing Address2021 S Hannibal Way Apt BAurora, CO 80013-4068 · (720) 812-2009 · Fax (720) 222-6269
Fax(720) 222-6269
Organization SubpartNo
Authorized OfficialGinny Lynn BlalockCoo/ Executive Director · (720) 812-2009
Enumeration DateAugust 1, 2017
Last NPPES UpdateJune 19, 20264 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
NPI 1205350105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedTransportation BrokerTaxonomy 347E00000X
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
Also ListedRespite CareTaxonomy 385H00000X
7009 S POTOMAC ST # 108, Centennial, CO 80112

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 Care Facility LLC's NPI number?

The NPI number for Eden Care Facility LLC is 1205350105. It was assigned to this organization in the NPPES registry on August 1, 2017.

Where is Eden Care Facility LLC located?

Eden Care Facility LLC is located at 7009 S Potomac St # 108, Centennial, CO 80112. The listed phone number is (720) 594-8163.

What is Eden Care Facility LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Eden Care Facility LLC was last updated on June 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.