Organization Active NPI

Eden Hospice at Cheyenne, LLC

Doing business as Eden Hospice

  • Home Health Agency
  • Cheyenne, WY
National Provider Identifier
1285307124
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EDEN HOSPICE AT CHEYENNE, LLC
Doing business as
Eden Hospice
Practice address
2232 Dell Range Blvd Ste 304
Cheyenne, WY 82009-4902
Phone
(307) 400-5200
NPI assigned
Jul 27, 2021
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EMPRES HOSPICE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Empres Healthcare Management, LLC
Title
Manager
Phone
(360) 892-6628

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2232 Dell Range Blvd Ste 304
Cheyenne, WY 82009-4902

Mailing address

4601 NE 77TH Ave Ste 300
Vancouver, WA 98662-6736
Phone (360) 892-6628

Other names 1

  • Eden Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230531000805 WY Part A Provider - Hospice 4183081524 Practice locations: Cheyenne, WY
O20251211003709 WY Part B Supplier - Clinic/Group Practice 4183081524 Receives reassigned benefits from 1 practitioner
Practice locations: Cheyenne, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285307124. Details of each certification follow.

Hospice certification: CCN 531531

Legal name
EDEN HOSPICE AT CHEYENNE LLC
Doing business as
EDEN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 1, 2023
Last certification
Dec 1, 2023
Organization structure
LLCProprietary
Incorporated
Jun 14, 2021 in WA
Enrollment address
2232 Dell Range Blvd
Ste 304
Cheyenne, WY 82009-4902

Care Compare: Hospice

Medicare Care Compare
Listed as
Eden HospiceCCN 531531 · All quality measures
Certified
Dec 1, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2277154Eden Hospice at Cheyenne, LLC2232 Dell Range Blvd, Suite 304, Cheyenne, WY 82009Certificate of waiverFeb 21, 2027

National Provider Directory

National Provider Directory

Locations

2232 Dell Range Blvd
Ste 100
Cheyenne, WY 82009
Phone (307) 638-6624

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Empres Healthcare Group Inc Organization, Vancouver, WA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2023 100%
Crystal Pfeffer Individual W-2 Managing EmployeeAdministrator & Director of PT Apr 1, 2023
John B Paulus Individual W-2 Managing EmployeeMD; Jan 1, 2024 100%
Empres Home and Hospice LLC Organization, Vancouver, WA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2023 100%
Jamie Brown Individual Corporate OfficerChief Operating Officer Jul 1, 2023 100%
Greatbanc Trust Company Organization, Lisle, IL Corporation, Financial institution, For-profit Other Apr 1, 2023 100%
Midcap Financial Trust Organization, Bethesda, MD LLC, Financial institution, For-profit 5% Or Greater Security Interest Apr 1, 2023 100%
Empres Financial Services LLC Organization, Vancouver, WA LLC, For-profit Operational/Managerial Control Apr 1, 2023 100%
Other Apr 1, 2023 100%
Kelle L Brogan Individual W-2 Managing EmployeeMD; Jan 1, 2024 100%
Brent Weil Individual Corporate OfficerCeo & Manager Apr 1, 2023
Empres Hospice, LLC Organization, Vancouver, WA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2023 100%
Michael J Miller Individual Corporate OfficerCfo Apr 1, 2023
Eden Healthcare Management, LLC Organization, Vancouver, WA LLC, Management services company, For-profit Operational/Managerial Control Apr 1, 2023 100%
Empres Healthcare Group, Inc. Employee Stock Ownership Trust Organization, Vancouver, WA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2023 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1285307124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626736",
            "telephone_number": "360-892-6628",
            "fax_number": "360-882-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 DELL RANGE BLVD STE 304",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094902",
            "telephone_number": "307-400-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOSPICE AT CHEYENNE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES HOSPICE, LLC",
        "enumeration_date": "2021-07-27",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "MANAGEMENT, LLC",
        "authorized_official_first_name": "EMPRES HEALTHCARE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.