Eden Home Health | |
2540 Channing Way Idaho Falls ID 83404-7515 | |
(208) 523-1980 | |
(208) 523-4024 |
Full Name | Eden Home Health |
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Speciality | Home Health |
Location | 2540 Channing Way, Idaho Falls, Idaho |
Authorized Official Name and Position | Michael J. Miller (CFO AND ASSISTANT MANAGER) |
Authorized Official Contact | 3608926628 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eden Home Health 4601 Ne 77th Ave Suite 300 Vancouver WA 98662-6729 Ph: (360) 892-6628 | Eden Home Health 2540 Channing Way Idaho Falls ID 83404-7515 Ph: (208) 523-1980 |
NPI Number | 1649683582 |
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Provider Enumeration Date | 06/09/2014 |
Last Update Date | 02/10/2022 |
Certification Date | 02/10/2022 |
Medicare PECOS PAC ID | 1951526094 |
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Medicare Enrollment ID | O20140707000315 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649683582 | NPI | - | NPPES |
1649683582 | Medicaid | ID | |
1649683582 | Other | ID | NPI |
HH-248 | Other | ID | STATE HOME HEALTH LICENSE |
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