Eden Hospice at Portland, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EDEN HOSPICE AT PORTLAND, LLC

Doing business as

Eden Hospice

Practice address

221 Molalla Ave Ste 102&120
Oregon City, OR 97045-3071

Phone

(971) 256-6642

Fax

(971) 256-6643

NPI assigned

Jul 27, 2021

Last updated

May 5, 2023By 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

Empres Healthcare Management, LLC

Title

Manager

Phone

(360) 892-6628

Specialties & licenses 4

Addresses

Other names 1

• Eden Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in OR, WA3 enrollments

Enrollment records 3

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902579840. Details of each certification follow.

• CCN 381579 Hospice · Active · Details

Hospice certification: CCN 381579

Legal name

EDEN HOSPICE AT PORTLAND LLC

Doing business as

EDEN HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 8, 2022

Last certification

Jun 8, 2022

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Enrollment address

221 Molalla Ave
Ste 120&102
Oregon City, OR 97045-3071

Listed as

Eden HospiceCCN 381579 · All quality measures

Ownership

For-Profit

Certified

Jun 8, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 16

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

Owners & managing parties with NPI records 2

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

• Kirsten Marie Winn Carr, M.D.

  • Family Medicine Physician
  • Portland, OR
  • NPI 1225054646

  W-2 Managing Employee

  CMS ownership
• Glen R Patrizio, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Hood River, OR
  • NPI 1962484592

  W-2 Managing Employee

  CMS ownership

Facilities with the same owner 20

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

• Eden Home Health of Bozeman, LLC

  dba Eden Home Health

  • Home Health Agency
  • Bozeman, MT
  • NPI 1659963999

  Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC

  CMS ownership
• Eden Home Health of Cheyenne, LLC

  dba Eden Home Health

  • Home Health Agency
  • Cheyenne, WY
  • NPI 1497428338

  Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC

  CMS ownership
• Eden Home Health of Clark County, LLC

  dba Eden Home Health

  • Home Health Agency
  • Vancouver, WA
  • NPI 1538778295

  Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC

  CMS ownership
• Eden Home Health of Idaho Falls, LLC

  dba Eden Home Health

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1649683582

  Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC

  CMS ownership
• Eden Home Health of King County, LLC

  dba Eden Home Health

  • Home Health Agency
  • Tukwila, WA
  • NPI 1003356403

  Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC

  CMS ownership
• Eden Home Health of Sandpoint, LLC

  dba Eden Home Health

  • Home Health Agency
  • Ponderay, ID
  • NPI 1346898830

  Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC

  CMS ownership
• Eden Home Health of Sierra Vista, LLC

  dba Eden Home Health

  • Home Health Agency
  • Sierra Vista, AZ
  • NPI 1568936334

  Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC

  CMS ownership
• Eden Home Health of Spokane County, LLC

  dba Eden Home Health

  • Home Health Agency
  • Spokane Valley, WA
  • NPI 1588212641

  Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC

  CMS ownership
• Eden Hospice at Carson City, LLC

  dba Eden Hospice

  • Community Based Hospice Care Agency
  • Reno, NV
  • NPI 1487051728

  Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC, Empres Hospice, LLC

  CMS ownership
• Eden Hospice at Cheyenne, LLC

  dba Eden Hospice

  • Home Health Agency
  • Cheyenne, WY
  • NPI 1285307124

  Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC, Empres Hospice, LLC

  CMS ownership
• Eden Hospice at Idaho Falls, LLC

  dba Eden Hospice

  • Community Based Hospice Care Agency
  • Idaho Falls, ID
  • NPI 1669839395

  Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC, Empres Hospice, LLC

  CMS ownership
• Eden Hospice at King County, LLC

  dba Eden Hospice

  • Community Based Hospice Care Agency
  • Tukwila, WA
  • NPI 1255922720

  Eden Healthcare Management, LLC, Empres Financial Services LLC, Empres Healthcare Group Inc, Empres Healthcare Group, Inc. Employee Stock Ownership Trust, Empres Home and Hospice LLC, Empres Hospice, LLC

  CMS ownership

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Stephen Cosgrove, NP

  • Family Nurse Practitioner
  • Oregon City, OR
  • NPI 1871252460
  Medicare reassignment NPD
• Randi Lynn Gehrman Ewing, APRN, AGNP-C

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1730690496

  OR, WA

  Medicare reassignment NPD
• Kayla M Briggs, MS OTR/L

  • Occupational Therapist
  • Oregon City, OR
  • NPI 1043594088

  Physical Therapist

  NPD
• Erin Marie Mooers, LPN

  • Licensed Practical Nurse
  • Longview, WA
  • NPI 1184498925
  NPD
• Veronica Eldora Vargas, LPN

  • Licensed Practical Nurse
  • Longview, WA
  • NPI 1154156560
  NPD
• Glen R Patrizio, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Hood River, OR
  • NPI 1962484592
  NPD (past)

Affiliated clinicians 2

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

• Rejeesh Menon Manchezhathu Rajagopalamenon, MD

  • Internal Medicine Physician
  • Lincoln City, OR
  • NPI 1720424476

  Hospice

  Care Compare affiliation
• William Paul Diehl IV, D.O.

  • Internal Medicine Physician
  • Bonners Ferry, ID
  • NPI 1275038093

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1902579840",
    "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": "221 MOLALLA AVE STE 102&120",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453071",
            "telephone_number": "971-256-6642",
            "fax_number": "971-256-6643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2621 NE 134th St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986863036",
            "country_code": "US",
            "telephone_number": "971-256-6642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Hudson St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322930",
            "country_code": "US",
            "telephone_number": "971-256-6642",
            "fax_number": "971-256-6643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDEN HOSPICE AT PORTLAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES HOSPICE, LLC",
        "enumeration_date": "2021-07-27",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "MANAGEMENT, LLC",
        "authorized_official_first_name": "EMPRES HEALTHCARE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "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"
        },
        {
            "organization_name": "Eden Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Easter Care Center LLC
• Patrick Eaton
• Ebenezer's Kind Heart
• Elizabeth Kathleen Stark Ebensteiner, M.S. CCC-SLP
• Sarah Nmi Echternkamp, AU.D.
• Eden Hospice at Salem, LLC (Eden Hospice)
• Nathan Daniel Edmonds, D.C.
• Educational Training Program Inc.
• Edward a Gibb DMD PC
• George M Edwards, MD

• Community Based Hospice Care Agency in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Community Based Hospice Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.