EDEN HOSPICE AT WHATCOM COUNTY LLC NPI 1275130098

NPI Information

NPI: 1275130098
Provider Name: EDEN HOSPICE AT WHATCOM COUNTY, LLC

Doing Business As: EDEN HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
316 E MCLEOD RD STE 104
BELLINGHAM, WA
ZIP 98226
Phone: (360) 734-5410
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EDEN HOSPICE AT WHATCOM COUNTY, LLC is a hospice care community based in Bellingham, WA. EDEN HOSPICE AT WHATCOM COUNTY, LLC NPI is 1275130098. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eden Hospice.

The provider's business location address is:

316 E MCLEOD RD STE 104
BELLINGHAM, WA
ZIP 98226-491
Phone: (360) 734-5410
Fax: (360) 816-1652

The provider's authorized official is Brent Weil .
The authorized official title is Ceo And Manager and has the following contact phone number (360) 903-7628.

The CLIA number assigned to this NPI record is 50D2211455 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2020 and was last updated on 6/28/2023.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50D2211455	OTHER	WASHINGTON	CLIA WAIVER
2	50-1548	OTHER	WASHINGTON	PTAN
3	1275130098	OTHER	WASHINGTON	NPI
4	IHS.FS.61117985	OTHER	WASHINGTON	STATE LICENSE
5	2217994	MEDICAID	WASHINGTON

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: 4/28/2024

NPI Synchronization or Removal

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