Organization Active NPI

Eden Wellness LLC

  • Medical Specialty Clinic/Center
  • Greenwood Village, CO
National Provider Identifier
1194647461
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
EDEN WELLNESS LLC
Practice address
5990 S University Blvd
Greenwood Village, CO 80121-2866
Phone
(720) 605-7678
NPI assigned
Jul 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matt Bandelier
Title
Director of Business Development
Phone
(303) 257-9181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

5990 S University Blvd
Greenwood Village, CO 80121-2866

Mailing address

5990 S University Blvd
Greenwood Village, CO 80121-2866

National Provider Directory

National Provider Directory

Locations

5990 S University Blvd
Greenwood Village, CO 80121
Phone (318) 816-1779

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1194647461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5990 S UNIVERSITY BLVD",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801212866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 S UNIVERSITY BLVD",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801212866",
            "telephone_number": "720-605-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "BANDELIER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "303-257-9181"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.