Eden Home Health is a medicare enrolled "Home Health" provider in Ponderay, Idaho. Their current practice location is
204 Triangle Dr, Ponderay, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 255-1640.
Eden Home Health is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Eden Home Health
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1346898830.
Healthcare Provider's Profile
| Full Name | Eden Home Health |
|---|
| Type | Facility |
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| Speciality | Home Health |
|---|
| Location | 204 Triangle Dr, Ponderay, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346898830
- Provider Enumeration Date: 08/28/2019
- Last Update Date: 06/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214360403
- Enrollment ID: O20191202000897
Medical Identifiers
Medical identifiers for Eden Home Health such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346898830 | NPI | - | NPPES |
| 13-7122 | Other | ID | PTAN |
| 1346898830 | Medicaid | ID | |
| HH-247 | Other | ID | HOME HEALTH AGENCY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eden Home Health is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eden Home Health
4601 Ne 77th Ave Ste 300,
Vancouver, WA 98662-6736
Ph: (360) 892-6628 | Eden Home Health
204 Triangle Dr,
Ponderay, ID 83852-9729
Ph: (208) 255-1640 |
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