EDEN HOSPICE AT CARSON CITY LLC NPI 1487051728

NPI Information

NPI: 1487051728
Provider Name: EDEN HOSPICE AT CARSON CITY, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Doing Business As: EDEN HOSPICE
CLIA Number: 29D2274288
Address: 907 MOUNTAIN ST
CARSON CITY, NV
ZIP 89703
Phone: (360) 892-6628

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NPI Details

EDEN HOSPICE AT CARSON CITY, LLC is a hospice care community based in Carson City, NV. EDEN HOSPICE AT CARSON CITY, LLC NPI is 1487051728. 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:

907 MOUNTAIN ST
CARSON CITY, NV
ZIP 89703-846
Phone: (360) 892-6628
Fax: (360) 882-5793

The provider's authorized official is Brent Weil .
The authorized official title is Ceo And Manager and has the following contact phone number (360) 892-6628.

The CLIA number assigned to this NPI record is 29D2274288 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2014 and was last updated on 5/13/2024.

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	Taxonomy Specialization	License Number	License State	Primary
1	207RH0002X	Internal Medicine	Hospice and Palliative Medicine			No
2	251G00000X	Hospice Care, Community Based		6275HPC-9	NEVADA	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
1	100546106	MEDICAID	NEVADA
2	100504255	MEDICAID	NEVADA
3	PENDING	MEDICAID	NEVADA

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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