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Contact Information

EDEN HOME HEALTH OF IDAHO FALLS, LLC
2540 CHANNING WAY
IDAHO FALLS, ID83404-7515
 Phone: 208-523-1980
 Fax: 208-523-4024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Home Health Aide

374U00000X
 

Nursing Care

251J00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Social Worker

104100000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for EDEN HOME HEALTH OF IDAHO FALLS, LLC

NPI Number 1649683582
LBN Legal business name EDEN HOME HEALTH OF IDAHO FALLS, LLC
Authorized official MICHAEL MILLER - (CFO AND ASSISTANT MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/09/2014
Last updated 02/10/2022 - About 4 years ago
Identifiers
ID License # HH-248
ID Medicaid 1649683582
ID Other 1649683582 NPI
ID Other HH-248 STATE HOME HEALTH LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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