MEDICARE: EDEN'S ELITE HOME HEALTH AGENCY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1902360563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDEN'S ELITE HOME HEALTH AGENCY LLC

Provider Business Mailing Address
First Line	:	29119 BLUE FINCH CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-5204
Country	:	US
Telephone Number	:	832-373-8353
Fax Number	:	346-571-7855

Provider Business Practice Location Address
First Line	:	9100 SOUTHWEST FWY STE 225
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1583
Country	:	US
Telephone Number	:	346-571-7852
Fax Number	:	346-571-7855

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. EKELECHI AHAMBA
Credential	:
Telephone Number	:	832-373-8353

Provider Enumeration Date	:	01/29/2019
Last Update Date	:	02/03/2026

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