Eden Hospice at Snohomish County, LLC
Organization Active NPI Community Based Hospice Care Agency · Lynnwood, WA
NPI 1215526686 · NPPES record last updated Feb 19, 2026
Key facts
- NPI
- 1215526686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- EDEN HOSPICE AT SNOHOMISH COUNTY, LLC
- Practice address
- 19217 36TH Ave W Ste 201
Lynnwood, WA 98036-5751 - Phone
- (425) 448-7607
- NPI assigned
- Jan 11, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- EMPRES HOSPICE, LLC
Authorized official
- Name
- Eden Healthcare Management, LLC
- Title
- Manager
- Phone
- (360) 892-6628
Owners & managing parties with NPI records 2
-
Kelle L Brogan, MD
-
Reed W Dopf, M.D
Facilities with the same owner 20
Affiliated clinicians 1
Medicare Care Compare: Hospice
- Listed as
- Eden Hospice
- Certified
- Jan 17, 2024
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
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
- LLC · Proprietary
- Incorporated
- Jan 6, 2021 in WA
- Enrollment address
- 19217 36TH Ave W
Ste 201
Lynnwood, WA 98036-5751
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Empres Healthcare Group Inc |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 100% |
| Erica Gaertner |
W-2 Managing Employee |
Apr 1, 2023 | 100% |
| Empres Home and Hospice LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 100% |
| Reed W Dopf |
W-2 Managing Employee |
Jan 1, 2024 | |
| Jamie Brown |
W-2 Managing Employee |
Apr 1, 2023 | |
| Greatbanc Trust Company |
Other | Apr 1, 2023 | 100% |
| Midcap Financial Trust |
5% Or Greater Security Interest | Apr 1, 2023 | 100% |
| Empres Financial Services LLC |
Operational/Managerial Control | Apr 1, 2023 | 100% |
| Other | Apr 1, 2023 | 100% | |
| Kelle L Brogan |
W-2 Managing Employee |
Jan 1, 2024 | |
| Brent Weil |
Corporate Officer |
Apr 1, 2023 | |
| Michelle Mamola |
W-2 Managing Employee |
Apr 1, 2023 | 100% |
| Empres Hospice, LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2023 | 100% |
| Michael J Miller |
Corporate Officer |
Apr 1, 2023 | 100% |
| Eden Healthcare Management, LLC |
Operational/Managerial Control | Apr 1, 2023 | 100% |
| Empres Healthcare Group, Inc. Employee Stock Ownership Trust |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230807000472 | WA | Part a Provider - Hospice | 1850752957 | Practice locations: Lynnwood, WA |
National Provider Directory
Locations
733 7th Ave
Ste 108
Kirkland, WA 98033
19217 36th Ave W
Ste 201
Lynnwood, WA 98036
Phone (360) 734-5410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
- Eden Hospice
Other providers in Lynnwood, WA
- Rosemary Eastman
- Laura Martina Eastwick
- Leahq Eaton
- Fran Echeverria
- Gwenna Lynn Eckert
- Sarah Eden
- Brian Edge
- Brynn Esterra Edmark
- Edmonds Community College
- Edmonds Family Care, PLLC
All providers in Lynnwood, WA · Community Based Hospice Care 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 19, 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.