Organization
EDEN HOME HEALTH OF IDAHO FALLS, 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
2540 CHANNING WAY, IDAHO FALLS, ID 83404-7515
(208) 523-1980
(208) 523-4024
Mailing address
4601 NE 77TH AVE, SUITE 300, VANCOUVER, WA 98662-6729
(360) 892-6628
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
HH-248
ID
251J00000X
Nursing Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649683582
NPI
ID
05
—
1649683582
—
ID
01
—
HH-248
STATE HOME HEALTH LICENSE
ID
Enumeration date
06/09/2014
Last updated
02/10/2022
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