Eden Home Health of King County, LLC
Organization Active NPI Home Health Agency · Tukwila, WA
NPI 1003356403 · NPPES record last updated Feb 18, 2026
Key facts
- NPI
- 1003356403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- EDEN HOME HEALTH OF KING COUNTY, LLC
- Practice address
- 16400 Southcenter Pkwy Ste 315
Tukwila, WA 98188-3335 - Phone
- (206) 717-8161
- NPI assigned
- Mar 3, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- EMPRES HOME HEALTH, LLC
Authorized official
- Name
- Michael J. Miller
- Title
- Cfo and Manager of Empres Healthcar
- Phone
- (360) 892-6628
Facilities with the same owner 20
Affiliated clinicians 3
-
Sahra Yusuf Adan, NURSE PRACTITONER
-
Jyothi Dikkala, MD
Medicare Care Compare: Home health agency
- Listed as
- Eden Home Health
- Overall star rating
- ★★★★★ 5 of 5
- Ownership
- Proprietary
- Certified
- May 29, 2019
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Home health agency certification: CCN 507128
- Legal name
- EDEN HOME HEALTH OF KING COUNTY LLC
- Doing business as
- EDEN HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 29, 2019
- Last certification
- May 29, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 15, 2017 in WA
- Enrollment address
- 16400 Southcenter Pkwy
Ste 315
Tukwila, WA 98188-3335
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Empres Home Health LLC |
5% Or Greater Direct Ownership Interest | Sep 1, 2018 | 100% |
| Empres Healthcare Group Inc |
5% Or Greater Indirect Ownership Interest | Sep 1, 2018 | 100% |
| Empres Home and Hospice LLC |
5% Or Greater Indirect Ownership Interest | Sep 1, 2018 | 100% |
| Kenisha D. Gore |
W-2 Managing Employee |
Sep 23, 2024 | 100% |
| Jamie Brown |
Corporate Officer |
Jul 1, 2023 | 100% |
| Greatbanc Trust Company |
Other | Sep 1, 2018 | 100% |
| Midcap Financial Trust |
5% Or Greater Security Interest | Sep 1, 2018 | 100% |
| Empres Financial Services LLC |
Operational/Managerial Control | Sep 1, 2018 | 100% |
| Other | Sep 1, 2018 | 100% | |
| Brent Weil |
Corporate Officer |
Sep 1, 2018 | |
| Benjamin Hing |
W-2 Managing Employee |
Oct 1, 2025 | 100% |
| Michael J Miller |
Corporate Officer |
Sep 1, 2018 | 100% |
| Eden Healthcare Management, LLC |
Operational/Managerial Control | Jan 1, 2023 | 100% |
| Empres Healthcare Group, Inc. Employee Stock Ownership Trust |
5% Or Greater Indirect Ownership Interest | Sep 1, 2018 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180625000771 | WA | Part a Provider - Home Health Agency | 0042565582 | Practice locations: Tukwila, WA |
National Provider Directory
Locations
800 5th Ave
Ste 4291
Seattle, WA 98104
Phone (206) 717-8161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | WA | Yes |
Addresses
Primary practice location
16400 Southcenter Pkwy Ste 315
Tukwila, WA 98188-3335
Mailing address
4601 NE 77TH Ave Ste 300
Vancouver, WA 98662-6736
Phone (360) 892-6628
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2145416 | Medicaid | WA |
Other names
- Eden Home Health
Other providers in Tukwila, WA
- Teresa L Dye
- Yvonne Marie Dymerski
- Michael Dzul
- Tatiana Camacho Earl
- Edward H Ebert
- Eden Hospice at King County, LLC
- Edgar Crockett OD PS
- Edmund H. Kwan DDS MSD PS
- Chris'Shea Edna Edwards
- Rosalie Edwards
All providers in Tukwila, WA · Home Health Agency in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.