Organization 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
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
EMPRES HOME CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.