Healthcare Provider Details

I. General information

NPI: 1376459933
Provider Name (Legal Business Name): EDENBROOKE HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15200 E GIRARD AVE STE 4800
AURORA CO
80014-5054
US

IV. Provider business mailing address

2325 S GENOA ST
AURORA CO
80013-6267
US

V. Phone/Fax

Practice location:
  • Phone: 720-953-9581
  • Fax:
Mailing address:
  • Phone: 720-953-9581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: CECILIA YEBOAH
Title or Position: DIRECTOR/PRESIDENT
Credential:
Phone: 720-953-9581