Wellformed AI

NPI 1669839395 · live from the CMS NPI Registry

Eden Hospice At Idaho Falls, LLC

Hospice Care, Community Based in Idaho Falls, ID. National Provider Identifier 1669839395, active.

NPI record

NPI1669839395 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location2540 Channing Way, Idaho Falls, ID 83404
Practice phone208-523-1980
Mailing address4601 Ne 77th Ave Ste 300, Vancouver, WA 98662
EnumeratedJanuary 26, 2016
Last updatedFebruary 18, 2026
Authorized officialBrent Weil, Ceo And Manager
Other namesEden Hospice

Taxonomies and licenses

TaxonomyCodeLicense
Hospice Care, Community Based primary251G00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.