Active NPI
Eden Home Health of Sandpoint, LLC
Doing business as Eden Home Health
- Home Health Agency
- Ponderay, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- EDEN HOME HEALTH OF SANDPOINT, LLC
- Doing business as
- Eden Home Health
- Practice address
- 676 N Triangle Dr
Ponderay, ID 83852-9604 - Phone
- (208) 255-1640
- NPI assigned
- Aug 28, 2019
- Last updated
- Feb 19, 2026
- Organization subpart
- Yes
- Parent organization
- EMPRES HOME HEALTH, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael J. Miller
- Title
- Ceo and Assistant Manager
- Phone
- (360) 892-6628
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Home Health Agency | 251E00000X | NU | 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 identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HH-247 | Other | ID | HOME HEALTH AGENCY LICENSE |
| 13-7122 | Other | ID | PTAN |
| 1346898830 | Medicaid | ID |
Other names 1
- Eden Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191202000897 | ID | Part A Provider - Home Health Agency | 7214360403 | Practice locations: Coeur D Alene, ID; Ponderay, ID |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1346898830. Details of each certification follow.
Home health agency certification: CCN 137122
- Legal name
- EDEN HOME HEALTH OF SANDPOINT, LLC
- Doing business as
- EDEN HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 20, 2012
- Last certification
- Jul 26, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 676 N Triangle Dr
Ponderay, ID 83852-9604
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Eden Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 20, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2031781 | Eden Home Health of Sandpoint LLC | Certificate of waiver | Oct 26, 2027 |
| 13D2237040 | Eden Home Health of Sandpoint LLC | Certificate of waiver | Sep 21, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Empres Home Health LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 100% |
| Empres Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 100% |
| Rhett Nilson | W-2 Managing Employee | Apr 17, 2023 | 100% |
| Empres Home and Hospice LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 100% |
| Holly Weber | W-2 Managing Employee | Apr 17, 2023 | 100% |
| Shari Taylor | W-2 Managing Employee | Mar 1, 2021 | 100% |
| Jamie Brown | Corporate Officer | Jul 1, 2023 | 100% |
| Greatbanc Trust Company | Other | Oct 1, 2019 | 100% |
| Midcap Financial Trust | 5% Or Greater Security Interest | Oct 1, 2019 | 100% |
| Empres Financial Services LLC | Operational/Managerial Control | Oct 1, 2019 | 100% |
| Other | Oct 1, 2019 | 100% | |
| Brent Weil | Corporate Officer | Oct 1, 2019 | |
| Michael J Miller | Corporate Officer | Oct 1, 2019 | 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 | Oct 1, 2019 | 100% |
Facilities with the same owner 20
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Eden Home Health
- Home Health Agency
- Idaho Falls, ID
- NPI 1649683582
Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC, Empres Home Health LLC
-
dba Eden Hospice
- Community Based Hospice Care Agency
- Idaho Falls, ID
- NPI 1669839395
Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC
-
dba Eden Hospice
- Community Based Hospice Care Agency
- Ponderay, ID
- NPI 1245962471
Eden Healthcare Management, LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC
-
dba Eden Home Health
- Home Health Agency
- Bozeman, MT
- NPI 1659963999
Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC, Empres Home Health LLC
-
dba Eden Home Health
- Home Health Agency
- Cheyenne, WY
- NPI 1497428338
Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC, Empres Home Health LLC
-
dba Eden Home Health
- Home Health Agency
- Vancouver, WA
- NPI 1538778295
Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC, Empres Home Health LLC
-
dba Eden Home Health
- Home Health Agency
- Tukwila, WA
- NPI 1003356403
Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC, Empres Home Health LLC
-
dba Eden Home Health
- Home Health Agency
- Sierra Vista, AZ
- NPI 1568936334
Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC, Empres Home Health LLC
-
dba Eden Home Health
- Home Health Agency
- Spokane Valley, WA
- NPI 1588212641
Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC, Empres Home Health LLC
-
dba Eden Hospice
- Community Based Hospice Care Agency
- Reno, NV
- NPI 1487051728
Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC
-
dba Eden Hospice
- Home Health Agency
- Cheyenne, WY
- NPI 1285307124
Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC
-
dba Eden Hospice
- Community Based Hospice Care Agency
- Tukwila, WA
- NPI 1255922720
Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2019 | Change of Ownership | Alliance Family Services, North Inc |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
Practitioners & affiliated clinicians
Affiliated clinicians 82
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Coeur d'Alene, ID
- NPI 1356162226
Home health agency
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Sandpoint, ID
- NPI 1164597431
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1346898830",
"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": "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",
"fax_number": "208-263-9210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EDEN HOME HEALTH OF SANDPOINT, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EMPRES HOME HEALTH, LLC",
"enumeration_date": "2019-08-28",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CEO AND ASSISTANT MANAGER",
"authorized_official_telephone_number": "360-892-6628"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH AGENCY LICENSE",
"identifier": "HH-247",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "13-7122",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346898830",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eden Home Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Eden Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ponderay, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.