Provider Demographics
NPI:1902360563
Name:EDEN'S ELITE HOME HEALTH AGENCY LLC
Entity type:Organization
Organization Name:EDEN'S ELITE HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EKELECHI
Authorized Official - Middle Name:
Authorized Official - Last Name:AHAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-373-8353
Mailing Address - Street 1:9100 SOUTHWEST FWY STE 225
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1583
Mailing Address - Country:US
Mailing Address - Phone:832-373-8353
Mailing Address - Fax:281-375-9289
Practice Address - Street 1:9100 SOUTHWEST FWY STE 225
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1583
Practice Address - Country:US
Practice Address - Phone:281-375-9657
Practice Address - Fax:281-375-9289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health