# EDEN HOME HEALTH OF IDAHO FALLS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EMPRES HOME HEALTH, LLC
- **Other names:** Eden Home Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649683582
- **Legal business name:** EMPRES HOME HEALTH, LLC
- **Authorized official:** MICHAEL J. MILLER (CFO AND ASSISTANT MANAGER)
- **Authorized official phone:** (360) 892-6628

## Contact information

- **Practice address:** 2540 CHANNING WAY, IDAHO FALLS, ID 83404-7515
- **Practice address phone:** (208) 523-1980
- **Practice address fax:** (208) 523-4024
- **Mailing address:** 4601 NE 77TH AVE, SUITE 300, VANCOUVER, WA 98662-6729
- **Mailing address phone:** (360) 892-6628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251E00000X | Home Health Agency | HH-248 | ID | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 06/09/2014
- **Last updated:** 02/10/2022
