Active NPI
Empres Personal Care Services of Idaho Falls, LLC
Doing business as Eden Home Care
- Home Health Agency
- Ammon, ID
National Provider Identifier
1629598610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- EMPRES PERSONAL CARE SERVICES OF IDAHO FALLS, LLC
- Doing business as
- Eden Home Care
- Practice address
- 1480 Midway Ave Unit 7
Ammon, ID 83406-4587 - Phone
- (208) 523-1980
- Fax
- (208) 529-4013
- NPI assigned
- Jun 21, 2017
- Last updated
- Jun 21, 2017
- Organization subpart
- Yes
- Parent organization
- EMPRES HOME CARE, LLC
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | ID | Primary |
Addresses
Primary practice location
1480 Midway Ave Unit 7
Ammon, ID 83406-4587
Mailing address
4601 NE 77TH Ave Ste 300
Vancouver, WA 98662-6736
Phone (360) 892-6628
Other names 1
- Eden Home Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498003200000",
"number": "1629598610",
"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": "1480 MIDWAY AVE UNIT 7",
"city": "AMMON",
"state": "ID",
"postal_code": "834064587",
"telephone_number": "208-523-1980",
"fax_number": "208-529-4013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPRES PERSONAL CARE SERVICES OF IDAHO FALLS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EMPRES HOME CARE, LLC",
"enumeration_date": "2017-06-21",
"last_updated": "2017-06-21",
"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": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eden Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ammon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.