Eden Home Health Of Sandpoint, Llc, NPI 1346898830
Home Health Agency in Ponderay, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1346898830 |
| NPI Entity Type | Organization |
| Provider Name |
Eden Home Health Of Sandpoint, Llc
Doing Business As |
| Subpart of Organization | Empres Home Health, Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 204 Triangle Dr, Ponderay, ID, US |
| Provider Mailing Address | 4601 Ne 77th Ave Ste 300, Vancouver, WA, US, 986626736 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Michael J. Miller |
| Official Position | CEO AND ASSISTANT MANAGER |
| Phone | 360-892-6628 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Home Health Agency |
| Classification | |
| Group | |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
No | ||||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
No | ||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 13-7122 | ID | PTAN | 01 |
| 1346898830 | ID | MEDICAID | 05 |
| HH-247 | ID | HOME HEALTH AGENCY LICENSE | 01 |
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MRS. RPT Kimberly W Schwarze Individual |
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PA-C Todd M Otstot Individual |
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PT, DPT Katherine Buschhorn Individual |
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Odyssey Healthcare Operating B, Lp Organization |
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