Organization Active NPI

Eden Hospice at the Inland Northwest, LLC

Doing business as Eden Hospice

  • Community Based Hospice Care Agency
  • Ponderay, ID
National Provider Identifier
1245962471
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 THE INLAND NORTHWEST, LLC
Doing business as
Eden Hospice
Practice address
676 N Triangle Dr
Ponderay, ID 83852-9604
Phone
(208) 255-1640
NPI assigned
Jun 27, 2022
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
Empres Healthcare Management, LLC
Title
Manager
Phone
(360) 892-6628

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

676 N Triangle Dr
Ponderay, ID 83852-9604

Mailing address

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

Other practice location 1

296 W Sunset Ave Ste 20
Coeur D Alene, ID 83815-8367
Phone (208) 255-1640

Other practice location 2

1227 N Argonne Rd Ste A
Spokane Valley, WA 99212-2657
Phone (509) 508-0343

Other names 1

  • Eden Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220728000136 ID Part A Provider - Hospice 2567844202 Practice locations: Coeur D Alene, ID; Ponderay, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245962471. Details of each certification follow.

Hospice certification: CCN 131590

Legal name
EDEN HOSPICE AT THE INLAND NORTHWEST, LLC
Doing business as
EDEN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 24, 2023
Last certification
Aug 11, 2023
Organization structure
LLCProprietary
Enrollment address
676 N Triangle Dr
Ponderay, ID 83852-9604

Care Compare: Hospice

Medicare Care Compare
Listed as
Eden Hospice at the Inland Northwest LLCCCN 131590 · All quality measures
Certified
Aug 24, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2264485Eden Hospice at the Inland Northwest LLC676 N Triangle Dr, Ponderay, ID 83852Certificate of waiverJul 13, 2026

National Provider Directory

National Provider Directory

Locations

296 W Sunset Ave
Ste 20
Coeur D Alene, ID 83815
Phone (208) 225-1640

1227 N Argonne Rd
Ste A
Spokane Valley, WA 99212
Phone (509) 505-5315

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 Jul 1, 2022 100%
William P Diehl Individual Contracted Managing EmployeeMD; Jun 1, 2023
Empres Home and Hospice LLC Organization, Vancouver, WA LLC, Financial institution, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
Jamie Brown Individual Corporate OfficerChief Operating Officer Jul 1, 2023
Greatbanc Trust Company Organization, Lisle, IL Corporation, Financial institution, For-profit Other Jul 1, 2022 100%
Midcap Financial Trust Organization, Bethesda, MD LLC, Financial institution, For-profit 5% Or Greater Security Interest Jul 1, 2022
Jonathan Clifton Individual W-2 Managing EmployeeDirector of Patient Care Services Jan 30, 2026 100%
Empres Financial Services LLC Organization, Vancouver, WA LLC, For-profit Other Jul 1, 2022
Michael G Meza Individual W-2 Managing EmployeeMedical Director Jan 1, 2024 100%
Brent Weil Individual Corporate Officer Jul 1, 2022
Jordan W Wright Individual W-2 Managing EmployeeAd; Oct 24, 2025 100%
Empres Hospice, LLC Organization, Vancouver, WA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Michael J Miller Individual Corporate OfficerCfo Jul 1, 2022
Eden Healthcare Management, LLC Organization, Vancouver, WA LLC, Management services company Operational/Managerial Control Jan 1, 2023 100%
Empres Healthcare Group, Inc. Employee Stock Ownership Trust Organization, Vancouver, WA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 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": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1245962471",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N TRIANGLE DR",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838529604",
            "telephone_number": "208-255-1640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "296 W Sunset Ave Ste 20",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838158367",
            "country_code": "US",
            "telephone_number": "208-255-1640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 N Argonne Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992122657",
            "country_code": "US",
            "telephone_number": "509-508-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDEN HOSPICE AT THE INLAND NORTHWEST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES HOSPICE, LLC",
        "enumeration_date": "2022-06-27",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "MANAGEMENT, LLC",
        "authorized_official_first_name": "EMPRES HEALTHCARE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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"
        }
    ]
}

Other providers in Ponderay, ID

Sources for this page

Verify at the official NPI Registry.