Eden Home Health – Home Health Agency, NPI 1003356403

Eden Home Health is a healthcare provider. based in Vancouver, Washington. specializing in Home Health Agency. The NPI Number for Eden Home Health is 1003356403

Main info

Organization
Name
Eden Home Health
NPI
1003356403
Phone
(360) 892-6628
Address
4601 NE 77TH AVE STE 300
Authorized Official
MICHAEL J. MILLER CFO AND MANAGER OF EMPRES HEALTHCAR
Enumeration Date
3 March 2017
Last Update Date
18 February 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness90
Years active:9State licenses:0Digital endpoints

Provider Addresses for Eden Home Health

  • 4601 NE 77TH AVE STE 300

    VANCOUVER, WA 986626736

    Phone: (360) 892-6628

    Fax: (360) 882-5793

    Type: Mailing

  • 16400 SOUTHCENTER PKWY STE 315

    TUKWILA, WA 981883335

    Phone: (206) 717-8161

    Type: Location

  • 733, 7th Avenue, Kirkland, King County, Washington, 98033, United States

    SUITE 110

    KIRKLAND, WA 98033

    Phone: (206) 717-8161

    Fax: (206) 899-1641

    Type: Location

  • 4601, Northeast 77th Avenue, Burton Homes, Vancouver, Clark County, Washington, 98662, United States

    SUITE 300

    VANCOUVER, WA 98662

    Phone: (360) 892-6628

    Fax: (360) 882-5793

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-10-31 (589 days ago).

Enrollment records

1

Earliest due date

2024-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20180625000771OHome Health AgencyWA2024-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98662)

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Reviews

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Frequently asked questions

What number should I use to identify Eden Home Health for billing?
Administrative and clinical systems typically use NPI 1003356403 for Eden Home Health.
Is Eden Home Health's NPI status active today?
Active status means Eden Home Health's NPI record is not deactivated in the public file.
Which specialty label fits Eden Home Health?
NPPES ties Eden Home Health to Home Health Agency in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Eden Home Health?
Eden Home Health shows a connection to Vancouver, Washington in registry-derived data.
Can I export Eden Home Health's record?
You can download the official NPPES record; we summarize key fields for readability.

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