Eden Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EDEN HOSPICE CARE INC

Practice address

1129 W Iron Springs Rd # 109
Prescott, AZ 86305-1623

Phone

(928) 482-2490

NPI assigned

May 22, 2021

Last updated

Oct 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Clegg

Title

Ceo

Phone

(928) 482-2490

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265007215. Details of each certification follow.

• CCN 031770 Hospice · Active · Details

Hospice certification: CCN 031770

Legal name

EDEN HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 1, 2021

Last certification

Dec 1, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Mar 15, 2021 in AZ

Enrollment address

1129 W Iron Springs Rd
Ste 109
Prescott, AZ 86305-1623

Listed as

Eden Hospice Care IncCCN 031770 · All quality measures

Ownership

For-Profit

Certified

Dec 1, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

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

• Moses Ohiguerhei Imohi, M.D.

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1437438041

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Moses Ohiguerhei Imohi, M.D.

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1437438041

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1621641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1265007215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 W IRON SPRINGS RD # 109",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 W IRON SPRINGS RD # 109",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051623",
            "telephone_number": "928-482-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-22",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "CLEGG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-482-2490"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin D Earnst
• Lois Marie Eaton, NMD
• Stacey Eckenrod
• Ronael Eckman, MD
• Courtney Edel, PHARMD
• Desiree Nicole Eden
• Gail L Edgerton, LCSW
• David W Edwards, D.M.D.
• Keri Eggers-Wilt, APRN, FNP
• Timothy Glenn Eikom

• Community Based Hospice Care Agency in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.