Eden Home Health of Elk Grove, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EDEN HOME HEALTH OF ELK GROVE, LLC

Practice address

9299 E Stockton Blvd
Suite 10
Elk Grove, CA 95624-4097

Phone

(916) 681-4949

Fax

(916) 681-4888

NPI assigned

Aug 16, 2016

Organization subpart

Yes

Parent organization

EMPRES HOME HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Brent Weil

Title

Ceo and Manager

Phone

(360) 892-6628

Specialties & licenses 1

Addresses

Other names 1

• Eden Home Health Doing business as

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1497200745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE",
            "address_2": "SUITE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626729",
            "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": "9299 E STOCKTON BLVD",
            "address_2": "SUITE 10",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244097",
            "telephone_number": "916-681-4949",
            "fax_number": "916-681-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOME HEALTH OF ELK GROVE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES HOME HEALTH, LLC",
        "enumeration_date": "2016-08-16",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO AND MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rodolfo Echipare Jr.
• Breia Lashay Echiverri
• Manelle Echiverri
• Ecs of Bay Area II Optometry Corporation
• Stephen Edel
• Desmond Edmonson
• Margaret Lynn Edwards, MOT, OTR/L
• Paula Edwards
• Abigail Eguinoa, OTR
• Eidelson MD LLC

• Home Health Agency in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.