Eden Hospice at Cochise County, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EDEN HOSPICE AT COCHISE COUNTY, LLC

Doing business as

Eden Hospice

Practice address

4066 E Monsanto Dr Unit E
Sierra Vista, AZ 85650-8512

Phone

(360) 892-6628

Fax

(360) 882-5793

NPI assigned

Nov 26, 2018

Last updated

Nov 26, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

EMPRES HOSPICE, 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 Hospice Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1770053423",
    "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": "4066 E MONSANTO DR UNIT E",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856508512",
            "telephone_number": "360-892-6628",
            "fax_number": "360-882-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOSPICE AT COCHISE COUNTY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES HOSPICE, LLC",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Easter Seals Blake Foundation
• Brenna Chanell Eaton, RN
• Gail Z Eaton, LCSW
• Kimberly Ann Eckley, WHC NP RNC
• Eden Home Health of Sierra Vista, LLC (Eden Home Health)
• Laramie Jo Edens, DMD
• Gary Wayne Edgar, D.D.S.
• Eduardo Montes DPM PLLC
• Ramsey G Edwards, DMD
• Hannah Egbert

• Community Based Hospice Care Agency in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.