Organization
EDEN HOME HEALTH OF CLARK COUNTY, LLC
Active
Parent organization
EMPRES HOME HEALTH, LLC
Other names
Eden Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPRES HOME HEALTH, LLC
Authorized official
MICHAEL J. MILLER (CFO AND ASSISTANT MANAGER)
(360) 892-6628
Entity
Organization
Contact information
Practice address
2621 NE 134TH ST STE 140, VANCOUVER, WA 98686-3036
(360) 504-0122
(360) 859-1354
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
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538778295
NPI
WA
01
—
16-1096
STATE LICENSE
OR
01
—
50-7133
PTAN
WA
01
—
IHS.FS.61097918
STATE LICENSE
WA
Enumeration date
07/29/2020
Last updated
05/05/2023
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