Organization Active NPI

Empres at Casper, LLC

  • Skilled Nursing Facility
  • Casper, WY
National Provider Identifier
1306318274
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EMPRES AT CASPER, LLC
Practice address
60 Magnolia St
Casper, WY 82604-4035
Phone
(307) 234-9381
Fax
(307) 472-3510
NPI assigned
Dec 17, 2018
Last updated
Apr 9, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
EMPRES WYOMING HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Michael J. Miller
Title
Cfo and Assistant Manager
Phone
(360) 892-6628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

60 Magnolia St
Casper, WY 82604-4035

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
15306OtherWYNURSING FACILITY LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1306318274",
    "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": "60 MAGNOLIA ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826044035",
            "telephone_number": "307-234-9381",
            "fax_number": "307-472-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRES AT CASPER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES WYOMING HEALTHCARE, LLC",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO AND ASSISTANT MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING FACILITY LICENSE",
            "identifier": "15306",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.