Organization Active NPI

Eden Hospice at Snohomish County, LLC

Doing business as Eden Hospice

  • Community Based Hospice Care Agency
  • Lynnwood, WA
National Provider Identifier
1215526686
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
EDEN HOSPICE AT SNOHOMISH COUNTY, LLC
Doing business as
Eden Hospice
Practice address
19217 36TH Ave W Ste 201
Lynnwood, WA 98036-5751
Phone
(425) 448-7607
NPI assigned
Jan 11, 2021
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EMPRES HOSPICE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eden Healthcare Management, LLC
Title
Manager
Phone
(360) 892-6628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

19217 36TH Ave W Ste 201
Lynnwood, WA 98036-5751

Mailing address

4601 NE 77TH Ave Ste 300
Vancouver, WA 98662-6736
Phone (360) 892-6628

Other names 1

  • Eden Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230807000472 WA Part A Provider - Hospice 1850752957 Practice locations: Lynnwood, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215526686. Details of each certification follow.

Hospice certification: CCN 501556

Legal name
EDEN HOSPICE AT SNOHOMISH COUNTY LLC
Doing business as
EDEN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 17, 2024
Last certification
Jan 12, 2024
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jan 6, 2021 in WA
Enrollment address
19217 36TH Ave W
Ste 201
Lynnwood, WA 98036-5751

Care Compare: Hospice

Medicare Care Compare
Listed as
Eden HospiceCCN 501556 · All quality measures
Certified
Jan 17, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

733 7th Ave
Ste 108
Kirkland, WA 98033

4601 NE 77th Ave
Ste 300
Vancouver, WA 98662

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Empres Healthcare Group Inc Organization, Vancouver, WA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2023 100%
Erica Gaertner Individual W-2 Managing EmployeeDirector of Patient Care Service Apr 1, 2023 100%
Empres Home and Hospice LLC Organization, Vancouver, WA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2023 100%
Reed W Dopf Individual W-2 Managing EmployeeMD; Jan 1, 2024
Jamie Brown Individual W-2 Managing EmployeeVice President of Home Services Apr 1, 2023
Greatbanc Trust Company Organization, Lisle, IL Corporation, Financial institution, For-profit Other Apr 1, 2023 100%
Midcap Financial Trust Organization, Bethesda, MD LLC, Financial institution, For-profit 5% Or Greater Security Interest Apr 1, 2023 100%
Empres Financial Services LLC Organization, Vancouver, WA LLC, For-profit Operational/Managerial Control Apr 1, 2023 100%
Other Apr 1, 2023 100%
Kelle L Brogan Individual W-2 Managing EmployeeMD; Jan 1, 2024
Brent Weil Individual Corporate OfficerCeo and Manager of Eden Healthca Apr 1, 2023
Michelle Mamola Individual W-2 Managing EmployeeAdministrator Apr 1, 2023 100%
Empres Hospice, LLC Organization, Vancouver, WA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2023 100%
Michael J Miller Individual Corporate OfficerCfo Apr 1, 2023 100%
Eden Healthcare Management, LLC Organization, Vancouver, WA LLC, Management services company, For-profit Operational/Managerial Control Apr 1, 2023 100%
Empres Healthcare Group, Inc. Employee Stock Ownership Trust Organization, Vancouver, WA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2023 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1215526686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626736",
            "telephone_number": "360-892-6628",
            "fax_number": "360-882-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19217 36TH AVE W STE 201",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365751",
            "telephone_number": "425-448-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOSPICE AT SNOHOMISH COUNTY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES HOSPICE, LLC",
        "enumeration_date": "2021-01-11",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "MANAGEMENT, LLC",
        "authorized_official_first_name": "EDEN HEALTHCARE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eden Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.