EDEN HOLISTIC MEDICINE AND WELLNESS, PC (NPI# 1447578117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447578117 |
| Entity Type | Organization |
| Organization Name | EDEN HOLISTIC MEDICINE AND WELLNESS, PC |
| Practice Address |
412 E King St Malvern PA 19355-3004 |
| Practice Telephone | 6108338739 |
| Practice Fax Number | 6106478921 |
| Mailing Telephone | 6108338739 |
| Mailing Fax Number | 6106478921 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |
| Authorized Official Name | DR. KIMBERLEY E JACKSON (PRESIDENT) |
| Authorized Official Telephone | 6108338739 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | OS014960 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
412 E KING ST |
| City | MALVERN |
| State | PA |
| Zip Code | 19355-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841289378 | Henry W Beck | Social Worker | 412 E King St, Fl 2, Malvern, PA 19355-3004 | 2005-10-18 |
| 1285173823 | Dr Sophie Longwill, LLC | Psychologist | 412 E King St, Malvern, PA 19355-3004 | 2017-02-15 |
| 1679931810 | Sophie A Longwill | Psychologist | 412 E King St, Malvern, PA 19355-3004 | 2016-02-02 |
| 1093088858 | Annette D Telgarsky, PC | Psychologist | 412 E King St, Malvern, PA 19355-3004 | 2012-02-09 |
| 1669775136 | Ellen Gayda | Counselor | 412 E King St, Malvern, PA 19355-3004 | 2010-12-06 |
| 1538482427 | A Return To Eden | Massage Therapist | 412 E King St, Malvern, PA 19355-3004 | 2010-03-05 |
| 1730402629 | Mary Kate Farley | Massage Therapist | 412 E King St, Malvern, PA 19355-3004 | 2010-03-05 |
| 1770814071 | Lily B.thomas | Social Worker | 412 E King St, Malvern, PA 19355-3004 | 2010-01-26 |
| 1396074852 | Lily Barbara Thomas | Social Worker | 412 E King St, Malvern, PA 19355-3004 | 2009-12-12 |
| 1902956501 | Charles P Roth | Psychologist | 412 E King St, Malvern, PA 19355-3004 | 2007-01-12 |
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|---|---|---|---|---|
| 1588218044 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 | 2019-08-01 |
| 1871011122 | Mary Margaret Bischoff | Psychologist | 922 St. Andrews Dr., Malvern, PA 19355 | 2017-09-07 |
| 1114449527 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | 650 Carnegie Boulevard, 2nd Floor, Malvern, PA 19355 | 2017-07-07 |
| 1285169243 | Smile Exchange of Malvern, LLC | Clinic/Center | 5 S. Morehall Rd, Suite 700b, Malvern, PA 19355 | 2017-04-27 |
| 1669849162 | Sahar Akhtar | Counselor | 288 Lancaster Ave Ste 1, Frazer, PA 19355 | 2015-08-31 |
| 1386020030 | Laura Ann Treston | Physical Therapy Assistant | 60 Malvern Ave., Malvern, PA 19355 | 2015-08-05 |
| 1003217191 | Hillary Schmid | Behavioral Analyst | 28 Clover Lane, Malvern, PA 19355 | 2014-09-09 |
| 1033528799 | James Greco | Pharmacist | 50 Three Tun Rd Ste 2, Malvern, PA 19355 | 2014-08-07 |
| 1952712085 | Rachael Joseph | Community/Behavioral Health | 45 Kelmar Avenue, Malvern, PA 19355 | 2014-05-12 |
| 1487081808 | Ronia Arabatlian | Social Worker | 1 North Bacton Rd, 107, Malvern, PA 19355 | 2013-09-30 |
| Find all providers in zip 19355 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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| 1245530914 | The Medical Offices of Occupational Health Resources P C | General Practice | 700 Admiral Nelson Drive, Malvern, PA 19355 | 2010-10-28 |
| 1801904602 | Lb Brashears, Md, Ltd | General Practice | 1234 S Main St, Malvern, AR 72104-5226 | 2006-08-29 |
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| 1033686159 | Star Wellness Center, Inc | General Practice | 511 E 3rd St Ste 202, Bethlehem, PA 18015-2180 | 2018-10-26 |
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| 1124510888 | Healing Place Medical, P.C. | General Practice | 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 | 2018-05-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.