Eden Hospice at Cheyenne, LLC
Organization Active NPI Home Health Agency · Cheyenne, WY
NPI 1285307124 · NPPES record last updated Feb 19, 2026
Key facts
- NPI
- 1285307124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- EDEN HOSPICE AT CHEYENNE, LLC
- Practice address
- 2232 Dell Range Blvd Ste 304
Cheyenne, WY 82009-4902 - Phone
- (307) 400-5200
- NPI assigned
- Jul 27, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- EMPRES HOSPICE, LLC
Authorized official
- Name
- Empres Healthcare Management, LLC
- Title
- Manager
- Phone
- (360) 892-6628
Owners & managing parties with NPI records 2
-
John B Paulus, D.O.
-
Kelle L Brogan, MD
Facilities with the same owner 20
Practitioners 2
-
Kristine Marie Martino, APRN
-
John B Paulus, D.O.
Affiliated clinicians 1
-
John B Paulus, D.O.
Medicare Care Compare: Hospice
- Listed as
- Eden Hospice
- Certified
- Dec 1, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D2277154 | Eden Hospice at Cheyenne, LLC | Certificate of waiver | Feb 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WY
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
- LLC · Proprietary
- Incorporated
- Jun 14, 2021 in WA
- Enrollment address
- 2232 Dell Range Blvd
Ste 304
Cheyenne, WY 82009-4902
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Empres Healthcare Group Inc |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 100% |
| Crystal Pfeffer |
W-2 Managing Employee |
Apr 1, 2023 | |
| John B Paulus |
W-2 Managing Employee |
Jan 1, 2024 | 100% |
| Empres Home and Hospice LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 100% |
| Jamie Brown |
Corporate Officer |
Jul 1, 2023 | 100% |
| Greatbanc Trust Company |
Other | Apr 1, 2023 | 100% |
| Midcap Financial Trust |
5% Or Greater Security Interest | Apr 1, 2023 | 100% |
| Empres Financial Services LLC |
Operational/Managerial Control | Apr 1, 2023 | 100% |
| Other | Apr 1, 2023 | 100% | |
| Kelle L Brogan |
W-2 Managing Employee |
Jan 1, 2024 | 100% |
| Brent Weil |
Corporate Officer |
Apr 1, 2023 | |
| Empres Hospice, LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2023 | 100% |
| Michael J Miller |
Corporate Officer |
Apr 1, 2023 | |
| Eden Healthcare Management, LLC |
Operational/Managerial Control | Apr 1, 2023 | 100% |
| Empres Healthcare Group, Inc. Employee Stock Ownership Trust |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Home Health Agency | 251E00000X | Yes |
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
- Eden Hospice
Other providers in Cheyenne, WY
- Brittani Ebel
- Echo L.L.C.
- Susan Cynthia Eddy
- Megan Edelson
- Eden Home Health of Cheyenne, LLC
- Brenna C Edgerton
- Douglas W Edgren
- Brandy June Edlund
- Andy Edwards
- Danielle Pelayo Edwards
All providers in Cheyenne, WY · Home Health Agency in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.