Eden Home Health

LBN: Eden Home Health Of Sandpoint, Llc
Eden Home Health is an health care organization with primary practice located at 204 Triangle Dr , Ponderay ID 83852-9729. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Home Health. Agencies / Home Health is the primary health care specialty. Eden Home Health Of Sandpoint, Llc can be contacted via phone (208) 255-1640, or through Miller, Michael J. via phone (360) 892-6628.

Contact Information

Primary practice address
204 Triangle Dr Ponderay ID 83852-9729
Phone: (208) 255-1640
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Michael J.
Phone: (360) 892-6628

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Home Health 251E00000X

Profile Details

NPI number 1346898830
LBN Legal business name Eden Home Health Of Sandpoint, Llc
DBA Doing business as Eden Home Health
Authorized official Miller, Michael J.
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 28th, 2019
Last updated Jun 23rd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346898830 NPPES
Idaho Other 13-7122 PTAN
Idaho MEDICAID 1346898830 PTAN
Idaho Other HH-247 PTAN

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