Organization Active NPI

Eden Hospice at Idaho Falls, LLC

Doing business as Eden Hospice

  • Community Based Hospice Care Agency
  • Idaho Falls, ID
National Provider Identifier
1669839395
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
EDEN HOSPICE AT IDAHO FALLS, LLC
Doing business as
Eden Hospice
Practice address
2540 Channing Way
Idaho Falls, ID 83404-7515
Phone
(208) 523-1980
NPI assigned
Jan 26, 2016
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EMPRES HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

2540 Channing Way
Idaho Falls, ID 83404-7515

Mailing address

4601 NE 77TH Ave Ste 300
Vancouver, WA 98662-6736
Phone (360) 892-6628

Other names 1

  • Eden Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160603001003 ID Part A Provider - Hospice 0345546784 Practice locations: Idaho Falls, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669839395. Details of each certification follow.

Hospice certification: CCN 131584

Legal name
EDEN HOSPICE AT IDAHO FALLS LLC
Doing business as
EDEN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 5, 2021
Last certification
May 5, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jun 17, 2020 in WA
Enrollment address
2540 Channing Way
Idaho Falls, ID 83404-7515

Care Compare: Hospice

Medicare Care Compare
Listed as
Eden HospiceCCN 131584 · All quality measures
Ownership
For-Profit
Certified
May 5, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2192343Eden Hospice at Idaho Falls LLC Dba Eden Hospice2540 Channing Way, Idaho Falls, ID 83404Certificate of waiverSep 8, 2026

National Provider Directory

National Provider Directory

Locations

1480 Midway Ave
Unit 7
Ammon, ID 83406
Phone (208) 523-1980

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Empres Healthcare Group Inc Organization, Vancouver, WA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 17, 2020 100%
Jacob R Bryan Individual W-2 Managing EmployeeAd; Apr 17, 2023 100%
Empres Home and Hospice LLC Organization, Vancouver, WA LLC, Holding company, Financial institution, For-profit 5% Or Greater Indirect Ownership Interest Jun 17, 2020 100%
Jamie Brown Individual Corporate OfficerChief Operating Officer Jul 1, 2023 100%
Greatbanc Trust Company Organization, Lisle, IL Corporation, Financial institution, For-profit Other Jun 17, 2020 100%
Midcap Financial Trust Organization, Bethesda, MD LLC, Financial institution, For-profit 5% Or Greater Security Interest Jun 17, 2020 100%
Joseph W Nelson Individual W-2 Managing EmployeeMD; Jan 1, 2024 100%
Empres Financial Services LLC Organization, Vancouver, WA LLC, For-profit Operational/Managerial Control Jun 17, 2020 100%
Brent Weil Individual Corporate OfficerCeo/MNGR of Eden Hlthcr Mngmnt Feb 1, 2016
Lindsey Howard Individual W-2 Managing EmployeeDirector of Patient Care Services Jan 6, 2025 100%
Joseph E Weatherly Individual W-2 Managing EmployeeMD; Jan 1, 2024 100%
Empres Hospice, LLC Organization, Vancouver, WA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 17, 2020 100%
Michael J Miller Individual Corporate OfficerCfo Feb 1, 2016 100%
Eden Healthcare Management, LLC Organization, Vancouver, WA LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 2023 100%
Empres Healthcare Group, Inc. Employee Stock Ownership Trust Organization, Vancouver, WA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 17, 2020 100%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1669839395",
    "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": "2540 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047515",
            "telephone_number": "208-523-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOSPICE AT IDAHO FALLS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES HOSPICE",
        "enumeration_date": "2016-01-26",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.