Eden Home Health of Willamette Valley, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EDEN HOME HEALTH OF WILLAMETTE VALLEY, LLC

Practice address

380 Q St
Suite 250
Springfield, OR 97477-2120

Phone

(360) 892-6628

Fax

(360) 882-5793

NPI assigned

Mar 3, 2017

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

Locations

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1760922165",
    "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": "380 Q ST",
            "address_2": "SUITE 250",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974772120",
            "telephone_number": "360-892-6628",
            "fax_number": "360-882-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOME HEALTH OF WILLAMETTE VALLEY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES HOME HEALTH, LLC",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "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": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Jeanne Eastlick, MA, CMHC, LPC
• Rebecca Eastwood, RPH
• Anthony James Eberle, RPH
• Pam Ebert, O.D.
• Royal Eddings, LMT
• Eden Midwifery & Wellness
• Eden Midwifery & Wellness
• Jerry Lee Edin, MS
• Dawn Edwards
• Deborah W Egbert, MD

• Home Health Agency in Springfield, OR
• Providers in Springfield, OR by specialty
• Home Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.