EDEN HOME HEALTH OF WILLAMETTE VALLEY, LLC (NPI# 1760922165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760922165 |
| Entity Type | Organization |
| Organization Name | EDEN HOME HEALTH OF WILLAMETTE VALLEY, LLC |
| Other Organization Name | EDEN HOME HEALTH |
| Practice Address |
380 Q St Suite 250 Springfield OR 97477-2120 |
| Mailing Address |
4601 Ne 77th Ave Suite 300 Vancouver WA 98662-6729 |
| Practice Telephone | 3608926628 |
| Practice Fax Number | 3608825793 |
| Mailing Telephone | 3608926628 |
| Mailing Fax Number | 3608825793 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |
| Authorized Official Name | BRENT WEIL (CEO AND MANAGER) |
| Authorized Official Telephone | 3608926628 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMPRES HOME HEALTH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | OR | Agencies |
| Other Name | Type Code |
|---|---|
| Eden Home Health | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EDEN HOME HEALTH OF WILLAMETTE VALLEY, LLC | 380 Q Street, Suite 250, Springfield, OR 97477 |
| Washington State Corporations | EDEN HOME HEALTH OF WILLAMETTE VALLEY, LLC | 4601 Ne 77th Avenue Ste 300, Vancouver, WA 98662 |
| Street Address |
380 Q ST SUITE 250 |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827791 | Bridge2 Homecare LLC | Home Health | 48 Rencelau St, Springfield, MA 01118-2032 | 2020-10-07 |
| 1649877531 | Infinity Care, LLC | Home Health | 7011 Calamo St Ste 107, Springfield, VA 22150-3510 | 2020-10-05 |
| 1699380717 | Independent Living of Ohio, Inc | Home Health | 1610 Mitchell Blvd, Springfield, OH 45503-3416 | 2020-09-15 |
| 1215547260 | Icare Home Health Care Services LLC | Home Health | 7890 Backlick Rd Ste 234, Springfield, VA 22150-2252 | 2020-08-05 |
| 1417574112 | Mercy Home Health | Home Health | 1001 Baltimore Pike Ste 310, Springfield, PA 19064-2800 | 2020-06-29 |
| 1124642236 | Cure Home Health, LLC | Home Health | 7711 Matisse Way, Springfield, VA 22153-3433 | 2020-06-04 |
| 1508485319 | Brown & Robinson Health Care LLC | Home Health | 227 E Sunshine St Ste 121, Springfield, MO 65807-2652 | 2020-04-11 |
| 1174142053 | Holly Grove Health Care LLC | Home Health | 227 E Sunshine St Ste 6, Springfield, MO 65807-2652 | 2020-04-10 |
| 1427687805 | Good Samaritan Home Health Care Agency LLC | Home Health | 8136 Old Keene Mill Rd Ste A304, Springfield, VA 22152-1843 | 2020-04-07 |
| 1508499849 | Aan Healthcare Services Inc. | Home Health | 6820 Commercial Dr, Ste D, Springfield, VA 22151 | 2020-02-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on EDEN HOME HEALTH OF WILLAMETTE VALLEY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.