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

Active since November 26, 2018CLIA 03D2202541 · Waiver
4066 E MONSANTO DR UNIT E, SIERRA VISTA, AZ 85650(360) 892-6628(360) 882-5793 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eden Hospice At Cochise County, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDEN HOSPICE AT COCHISE COUNTY, LLC (NPI 1770053423), doing business as Eden Hospice, is a healthcare organization registered as a hospice care, community based in Sierra Vista, Arizona and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Brent Weil, Ceo And Manager, as its authorized official.

NPPES Registry Identity

NPI1770053423
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameEDEN HOSPICE AT COCHISE COUNTY, LLC
Location Address4066 E MONSANTO DR UNIT ESierra Vista, AZ 85650-8512
Mailing Address4601 Ne 77th Ave Ste 300Vancouver, WA 98662-6736 · (360) 892-6628 · Fax (360) 882-5793
Phone(360) 892-6628
Fax(360) 882-5793
Organization SubpartYesParent: Empres Hospice, Llc
Authorized OfficialBrent WeilCeo And Manager · (360) 892-6628
Enumeration DateNovember 26, 2018
✔ NPI 1770053423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
4066 E MONSANTO DR UNIT E, Sierra Vista, AZ 85650
Open in Google Maps ↗

Other Names 1

Doing Business AsEden Hospice

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2202541

Eden Hospice At Sierra Vista, LLC Dba Eden Hospice · Sierra Vista, AZ
Active · expires Nov 29, 2026
CLIA Number03D2202541
Laboratory TypeHospice
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorCarrie Fresquez
Laboratory Phone(520) 432-6255
Laboratory LocationEden Hospice At Sierra Vista, LLC Dba Eden Hospice4066 E Monsanto Drive, Unit F, Sierra Vista, AZ 85650
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAWN MARIE JACOBSON RN
Registered Nurse (Hospice)
4066 E MONSANTO DR UNIT E
SIERRA VISTA, AZ 85650
Cochise County (520) 335-6118
MRS. HOLLY NICOLE RANDOLPH LMSW
Social Worker
4066 E MONSANTO DR UNIT E
SIERRA VISTA, AZ 85650
Cochise County (520) 335-6118
EDEN HOME HEALTH OF SIERRA VISTA, LLC
Home Health
4066 E MONSANTO DR UNIT E
SIERRA VISTA, AZ 85650
Cochise County (520) 335-6118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eden Hospice At Cochise County, LLC's NPI number?

The NPI number for Eden Hospice At Cochise County, LLC is 1770053423. It was assigned to this organization in the NPPES registry on November 26, 2018. The provider is doing business as Eden Hospice.

Where is Eden Hospice At Cochise County, LLC located?

Eden Hospice At Cochise County, LLC is located at 4066 E Monsanto Dr Unit E, Sierra Vista, AZ 85650. The listed phone number is (360) 892-6628.

What is Eden Hospice At Cochise County, LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Eden Hospice At Cochise County, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2202541) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eden Hospice At Cochise County, LLC was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.