MEDICARE: EDER HOME CARE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	3104A0630X	Assisted Living Facility (Behavioral Disturbances)
3	310400000X	Assisted Living Facility
4	3104A0625X	Assisted Living Facility (Mental Illness)
5	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1861999724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDER HOME CARE, LLC

Provider Business Mailing Address
First Line	:	314 E NAKOMA ST STE S
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2739
Country	:	US
Telephone Number	:	915-244-8592
Fax Number	:	866-321-8182

Provider Business Practice Location Address
First Line	:	314 NAKOMA DR
Second Line	:	S
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216
Country	:	US
Telephone Number	:	915-244-8592
Fax Number	:	866-321-8182

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LAURA C CHACON
Credential	:
Telephone Number	:	915-244-8592

Provider Enumeration Date	:	04/09/2018
Last Update Date	:	03/26/2026

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