EDEN HOSPICE AT IDAHO FALLS LLC NPI 1669839395

NPI Information

  • NPI: 1669839395
  • Provider Name: EDEN HOSPICE AT IDAHO FALLS, LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Doing Business As: EDEN HOSPICE
  • CLIA Number: 13D2192343
  • Address: 1480 MIDWAY AVE
    UNIT 7
    AMMON, ID
    ZIP 83406
  • Phone: (208) 523-1980

Map and Directions

Get Directions

NPI Details

EDEN HOSPICE AT IDAHO FALLS, LLC is a hospice care community based in Ammon, ID. EDEN HOSPICE AT IDAHO FALLS, LLC NPI is 1669839395. The provider is registered as an organization entity type.
The provider Is Doing Business As Eden Hospice.

The provider's business location address is:

1480 MIDWAY AVE
UNIT 7
AMMON, ID
ZIP 83406-587
Phone: (208) 523-1980
Fax: (208) 529-4013

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 13D2192343 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2016 and was last updated on 1/30/2017.

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
1251G00000XHospice Care, Community BasedYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI