Provider Demographics
NPI:1154129013
Name:EDEN IN HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:EDEN IN HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/NURSE
Authorized Official - Prefix:
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMENTILLI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:475-298-0967
Mailing Address - Street 1:15 COLUMBINE DR
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-4601
Mailing Address - Country:US
Mailing Address - Phone:475-298-0967
Mailing Address - Fax:203-549-0944
Practice Address - Street 1:15 COLUMBINE DR
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-4601
Practice Address - Country:US
Practice Address - Phone:475-298-0967
Practice Address - Fax:203-549-0944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health