Healthcare Provider Details
I. General information
NPI: 1376402677
Provider Name (Legal Business Name): EDEN HOME CARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/21/2026
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3220 SAMUEL CT SW UNIT D
CEDAR RAPIDS IA
52404-3156
US
IV. Provider business mailing address
3220 SAMUEL CT SW UNIT D
CEDAR RAPIDS IA
52404-3156
US
V. Phone/Fax
- Phone: 832-588-7002
- Fax:
- Phone: 832-588-7002
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
PHILEMON
STEVEN
MSWANYAMA
Title or Position: CEO/FOUNDER
Credential:
Phone: 832-588-7002