EDEN HOME HEALTH OF WILLAMETTE VALLEY, LLC


Address: 380 Q St, Suite 250, Springfield, OR 97477-2120
Phone: 3608926628

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health OR Agencies

Other Provider/Organization Names

Other Name Type Code
Eden Home Health Doing Business As Name - Organization

Other Data Sources

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

Office Location

Street Address 380 Q ST
SUITE 250
City SPRINGFIELD
State OR
Zip Code 97477-2120

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City SPRINGFIELD
Zip Code 97477

Improve Information

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Dataset Information

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.

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