Eden'S Vantage LLC
Eden'S Vantage LLC is a healthcare organization registered as Psychiatric/Mental Health Nurse Practitioner in Forney, TX, holding Type 2 (organization) NPI 1104593789 since 2021. The authorized official on file is Emmanuel Okon, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104593789 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Eden'S Vantage LLC |
| Practice address | 2553 PETTUS DR, Forney, TX, 75126 |
| Phone | 4695695148 |
| Enumeration date | 2021-08-23 |
| Last updated in NPPES | 2022-09-08 |
Authorized official
| Name | Emmanuel Okon |
|---|---|
| Title | Ceo |
| Phone | 4695695148 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Primary | — | — |
Copy-ready billing details
Provider: Eden'S Vantage LLC NPI: 1104593789 Taxonomy: 363LP0808X (Psychiatric/Mental Health Nurse Practitioner) Address: 2553 PETTUS DR, Forney, TX, 75126
Verify this record
Cross-check NPI 1104593789 against the authoritative CMS record: view Eden'S Vantage LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Eden'S Vantage LLC?
What is the NPI number for Eden'S Vantage LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-09-08.