EDEN SPRING LIVING CENTER
NPI 1356484877
Custodial Care Facility - Adult Care Home in Durham, NC

Q: What is Jackson Odondi's NPI number?

The NPI number for Jackson Odondi is 1356484877. It was assigned to this organization in the NPPES registry on February 14, 2007. The provider is doing business as Eden Spring Living Center.

Q: What is Jackson Odondi's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Odondi was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 14, 2007

3812 BOOKER AVE, DURHAM, NC 27713(919) 544-0874(919) 544-0874 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eden Spring Living Center NPPES

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

EDEN SPRING LIVING CENTER (NPI 1356484877) is a healthcare organization registered as an adult care home in Durham, North Carolina and active in the NPI registry since February 2007. The organization lists Jackson Odondi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356484877

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameJACKSON ODONDI

Location Address3812 BOOKER AVEDurham, NC 27713-1126

Mailing AddressPo Box 15927Durham, NC 27704-0927 · (919) 544-0874 · Fax (919) 544-5331

Phone(919) 544-0874

Fax(919) 544-0874

Organization SubpartNo

Authorized OfficialJackson OdondiAdministrator · (919) 949-3585

Enumeration DateFebruary 14, 2007

Last NPPES UpdateJuly 2, 2008

✔ NPI 1356484877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in NC · HAL-032-073

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

3812 BOOKER AVE, Durham, NC 27713

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Other Names 1

Doing Business AsEden Spring Living Center

Other Identifiers 1

Medicaid7805238NC

Other Providers at the Same Location NPPES

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

EDEN SPRING LIVING CENTER, INC.

Assisted Living Facility

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 Jackson Odondi's NPI number?

The NPI number for Jackson Odondi is 1356484877. It was assigned to this organization in the NPPES registry on February 14, 2007. The provider is doing business as Eden Spring Living Center.

Where is Jackson Odondi located?

Jackson Odondi is located at 3812 Booker Ave, Durham, NC 27713. The listed phone number is (919) 544-0874.

What is Jackson Odondi's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Jackson Odondi was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.