Organization
EDEN HOSPICE AT WHATCOM COUNTY, LLC
Active
Parent organization
EMPRES HOSPICE, LLC
Other names
Eden Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPRES HOSPICE, LLC
Authorized official
BRENT WEIL (CEO AND MANAGER)
(360) 903-7628
Entity
Organization
Contact information
Practice address
316 E MCLEOD RD STE 104, BELLINGHAM, WA 98226-6491
(360) 734-5410
(360) 816-1652
Mailing address
4601 NE 77TH AVE STE 300, VANCOUVER, WA 98662-6736
(360) 892-6628
(360) 882-5793
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275130098
NPI
WA
05
—
2217994
—
WA
01
—
50-1548
PTAN
WA
01
—
50D2211455
CLIA WAIVER
WA
01
—
IHS.FS.61117985
STATE LICENSE
WA
Enumeration date
10/05/2020
Last updated
06/28/2023
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