MEDICARE: EDENBROOKE HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	385H00000X	Respite Care
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1558210609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDENBROOKE HEALTH CARE INC

Provider Business Mailing Address
First Line	:	2325 S GENOA ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80013-6267
Country	:	US
Telephone Number	:	720-953-9581
Fax Number	:

Provider Business Practice Location Address
First Line	:	2170 S PARKER RD STE 260H
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5747
Country	:	US
Telephone Number	:	720-953-9581
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	CECILIA YEBOAH
Credential	:
Telephone Number	:	720-953-9581

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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