Eden Hospice at Western Montana, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EDEN HOSPICE AT WESTERN MONTANA, LLC

Doing business as

Eden Hospice

Practice address

2075 Charlotte St Ste 2
Bozeman, MT 59718-2729

Phone

(406) 587-8710

Fax

(406) 587-0627

NPI assigned

Jul 28, 2021

Last updated

Jul 28, 2021By 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 MT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912670795. Details of each certification follow.

• CCN 271540 Hospice · Active · Details

Hospice certification: CCN 271540

Legal name

EDEN HOSPICE AT WESTERN MONTANA, 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 - Corporation

Organization structure

LLCProprietary

Incorporated

Mar 26, 2021 in WA

Enrollment address

2075 Charlotte St
Ste 2
Bozeman, MT 59718-2729

Listed as

Eden HospiceCCN 271540 · 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 14

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 1

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

• Colette Andrea Gomez-Kirchhoff, MD

  • Family Medicine Physician
  • Bozeman, MT
  • NPI 1982709259

  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

Affiliated clinicians 2

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

• Jessica Hoge, M.D.

  • Internal Medicine Physician
  • Billings, MT
  • NPI 1235363573

  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": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1912670795",
    "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": "2075 CHARLOTTE ST STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182729",
            "telephone_number": "406-587-8710",
            "fax_number": "406-587-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOSPICE AT WESTERN MONTANA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES HOSPICE, LLC",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Clarice Ebert, D.P.M.
• Anna Katariina Echeverri
• Echo Lake Counseling
• Barbara Jeanne Eckstein, NP
• Eden Home Health of Bozeman, LLC (Eden Home Health)
• Edge Medical Services
• Karli Edholm, M.D.
• Kylie Marie Edinger, MD
• Edward Wingfield LLC (Home Instead Senior Care)
• Gabriel P Edwards, MD

• Community Based Hospice Care Agency in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Community Based Hospice Care Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.