EDEN HOSPICE AT THE INLAND NORTHWEST LLC NPI 1245962471

NPI Information

NPI: 1245962471
Provider Name: EDEN HOSPICE AT THE INLAND NORTHWEST, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
CLIA Number: 13D2264485
Address: 204 TRIANGLE DR
PONDERAY, ID
ZIP 83852
Phone: (208) 255-1640

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NPI Details

EDEN HOSPICE AT THE INLAND NORTHWEST, LLC is a hospice care community based in Ponderay, ID. EDEN HOSPICE AT THE INLAND NORTHWEST, LLC NPI is 1245962471. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

204 TRIANGLE DR
PONDERAY, ID
ZIP 83852-729
Phone: (208) 255-1640

The provider's authorized official is Empres Healthcare Management, Llc .
The authorized official title is Manager and has the following contact phone number (360) 892-6628.

The CLIA number assigned to this NPI record is 13D2264485 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2022 and was last updated on 6/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	225100000X	Physical Therapist	No
2	225X00000X	Occupational Therapist	No
3	235Z00000X	Speech-Language Pathologist	No
4	251G00000X	Hospice Care, Community Based	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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