EDEN HOSPICE AT COCHISE COUNTY, LLC
NPI 1770053423
Hospice Care, Community Based in Sierra Vista, AZ

NPI Status: Active since November 26, 2018

Contact Information

4066 E MONSANTO DR UNIT E
SIERRA VISTA, AZ
ZIP 85650
Phone: (360) 892-6628
Fax: (360) 882-5793

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 03D2202541
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 11-29-2026

About EDEN HOSPICE AT COCHISE COUNTY, LLC

This page provides the complete NPI Profile along with additional information for Eden Hospice At Cochise County, Llc, a provider established in Sierra Vista, Arizona operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1770053423 assigned on November 2018. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Brent Weil (Ceo And Manager)

NPI
1770053423
Provider Name
EDEN HOSPICE AT COCHISE COUNTY, LLC
Entity Type
Organization
Location Address
4066 E MONSANTO DR UNIT E SIERRA VISTA, AZ 85650
Location Phone
(360) 892-6628
Location Fax
(360) 882-5793
Mailing Address
4601 NE 77TH AVE STE 300 VANCOUVER, WA 98662
Mailing Phone
(360) 892-6628
Mailing Fax
(360) 882-5793
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-26-2018
Last Update Date
11-26-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRENT WEIL

Authorized Official Title
CEO AND MANAGER
Authorized Official Phone
(360) 892-6628

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2202541
Facility Type
Hospice
Certificate Effective Date
November 30, 2024
Certificate Expiration Date
November 29, 2026
Laboratory Director
CARRIE FRESQUEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eden Hospice At Cochise County, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770053423, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 0 + 5 + 6 + 4 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1770053423.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Social Worker
4066 E MONSANTO DR UNIT E
SIERRA VISTA, AZ 85650
Registered Nurse (Hospice)
4066 E MONSANTO DR UNIT E
SIERRA VISTA, AZ 85650
Home Health
4066 E MONSANTO DR UNIT E
SIERRA VISTA, AZ 85650

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770053423, enumerated as an "organization" on November 26, 2018.

The provider is located at 4066 E MONSANTO DR UNIT E SIERRA VISTA, AZ 85650 and the phone number is (360) 892-6628.

Hospice Care, Community Based with taxonomy code 251G00000X.