EDEN HOME HEALTH OF CLARK COUNTY, LLC (NPI# 1538778295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538778295 |
| Entity Type | Organization |
| Organization Name | EDEN HOME HEALTH OF CLARK COUNTY, LLC |
| Practice Address |
4601 Ne 77th Ave Ste 300 Vancouver WA 98662-6736 |
| Practice Telephone | 3608926628 |
| Practice Fax Number | 3608825793 |
| Mailing Telephone | 3608926628 |
| Mailing Fax Number | 3608825793 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | EMPRES HEALTHCARE MANAGEMENT, LLC (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 | Agencies |
| Other Name | Type Code |
|---|---|
| Eden Home Health | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EDEN HOME HEALTH OF CLARK COUNTY, LLC | 4601 Ne 77th Ave, Suite 300, Vancouver, WA 98662-6736 |
| Street Address |
4601 NE 77TH AVE STE 300 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| 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 |
|---|---|---|---|---|
| 1255812020 | Healthy Living At Home - Vancouver, LLC | Home Health | 1220 Main St Ste 400, Vancouver, WA 98660-2963 | 2018-08-28 |
| 1871046623 | Rc Home Care Services, Inc. | Home Health | 4555 Ne 66th Ave, Vancouver, WA 98661-3181 | 2016-07-28 |
| 1629436027 | Fortis Healthcare, Inc. | Home Health | 8002 Ne Highway 99, #114, Vancouver, WA 98665-8876 | 2016-02-01 |
| 1356708895 | Vancouver Home Health Care Agency LLC | Home Health | 201 Ne Park Plaza Dr Ste 200, Vancouver, WA 98684-5871 | 2016-01-27 |
| 1952422735 | Elfin Services, Inc. | Home Health | 8509 Ne 69th St, Vancouver, WA 98662-4370 | 2007-04-02 |
| 1184771941 | Family Care Services, Inc | Home Health | 10000 Ne 7th Ave, Suite 210, Vancouver, WA 98685-4599 | 2007-01-04 |
| 1770644668 | Paradox Northwest Associates, Inc | Home Health | 205 E 11th St, Suite Ll1, Vancouver, WA 98660-3200 | 2006-12-13 |
| 1205867819 | Gentiva Certified Healthcare Corp. | Home Health | 204 Se Stone Mill Dr Ste 260, Vancouver, WA 98684-3507 | 2006-07-05 |
| 1144267667 | Waterford At Fairway Village Home | Home Health | 2909 Se Village Loop, Vancouver, WA 98683-8108 | 2006-06-01 |
| 1407366685 | Divine Home Health Care Inc | Home Health | 4555 Ne 66th Ave, Vancouver, WA 98661-3181 | 2017-10-02 |
| Find all providers in VANCOUVER | ||||
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| 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.