EMPRES AT CHEYENNE, LLC (NPI# 1093190688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093190688 |
| Entity Type | Organization |
| Organization Name | EMPRES AT CHEYENNE, LLC |
| Other Organization Name | GRANITE REHABILITATION AND WELLNESS |
| Practice Address |
3128 Boxelder Dr Cheyenne WY 82001-5808 |
| Mailing Address |
4601 Ne 77th Ave Suite 300 Vancouver WA 98662-6729 |
| Practice Telephone | 3076347901 |
| Practice Fax Number | 3076347910 |
| Mailing Telephone | 3608926628 |
| Mailing Fax Number | 3608825793 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | BRENT WEIL (CEO AND MANAGER) |
| Authorized Official Telephone | 3608926628 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMPRES WYOMING HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 141200100 | 05 |
| Other Name | Type Code |
|---|---|
| Granite Rehabilitation and Wellness | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EMPRES AT CHEYENNE, LLC | 3128 Boxelder Dr, Cheyenne, WY 82001-5808 |
| Colorado Business Entities | EmpRes at Cheyenne, LLC dba Granite Rehabilitation and Wellness | 3128 Boxelder Drive, Cheyenne, WY 82001 |
| Street Address |
3128 BOXELDER DR |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962475269 | Joelle Paris France | Social Worker | 3128 Boxelder Dr, Mountain Towers, Cheyenne, WY 82009 | 2006-02-08 |
| 1124656418 | Justin Drew Jones | Occupational Therapist | 3128 Boxelder Dr, Cheyenne, WY 82001-5808 | 2020-03-31 |
| 1427698927 | Mary Clarine Ellison | Occupational Therapist | 3128 Boxelder Dr, Cheyenne, WY 82001-5808 | 2020-01-13 |
| 1801439492 | Mallory Hammer | Occupational Therapist | 3128 Boxelder Dr, Cheyenne, WY 82001-5808 | 2019-10-25 |
| 1598314775 | Michelle Linn Anderson | Occupational Therapist | 3128 Boxelder Dr, Cheyenne, WY 82001-5808 | 2019-09-10 |
| 1184276784 | Aaron Brent Vernon | Physical Therapist | 3128 Boxelder Dr, Cheyenne, WY 82001-5808 | 2019-07-12 |
| 1245892058 | Sarah Katherine Huntley | Speech-Language Pathologist | 3128 Boxelder Dr, Cheyenne, WY 82001-5808 | 2019-07-01 |
| 1972096519 | Sierra Steckler | Physical Therapist | 3128 Boxelder Dr, Cheyenne, WY 82001-5808 | 2018-06-08 |
| 1477043784 | Rachel Louise Land | Occupational Therapist | 3128 Boxelder Dr, Cheyenne, WY 82001-5808 | 2018-05-11 |
| 1528583952 | Andrea E Lopez | Physical Therapy Assistant | 3128 Boxelder Dr, Cheyenne, WY 82001-5808 | 2017-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750321584 | Cheyenne Operations LLC | Skilled Nursing Facility | 1330 Prairie Ave, Cheyenne, WY 82009-4842 | 2006-06-08 |
| 1053432336 | Ssc Cheyenne Operating Company LLC | Skilled Nursing Facility | 2700 E 12th St, Cheyenne, WY 82001-5604 | 2007-04-03 |
| 1285621839 | Memorial Hospital of Laramie County | Skilled Nursing Facility | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337990 | State of Wyoming | Skilled Nursing Facility | 8204 Wyoming Highway 789, Lander, WY 82520-2941 | 2020-05-13 |
| 1194105684 | Saratoga Care Center, LLC | Skilled Nursing Facility | 207 Holly Avenue, Saratoga, WY 82331-0630 | 2015-06-01 |
| 1104169945 | Ekstroms Nursing, LLC | Skilled Nursing Facility | 111 Lewis Rd, Gillette, WY 82718-8847 | 2013-03-29 |
| 1962746222 | Deseret Health and Rehab At Rock Springs LLC | Skilled Nursing Facility | 1325 Sage St, Rock Springs, WY 82901-7478 | 2012-11-26 |
| 1649567710 | Opsal Nursing, LLC | Skilled Nursing Facility | 1906 Harvest Moon Dr, Gillette, WY 82718-7878 | 2011-07-08 |
| 1396034112 | Alternative Elder Living, Inc. | Skilled Nursing Facility | 2311 Shirley Cv, Sheridan, WY 82801-8306 | 2011-04-01 |
| 1700907029 | Ssc Casper Operating Company LLC | Skilled Nursing Facility | 4305 S Poplar St, Casper, WY 82601-6106 | 2007-04-03 |
| 1184745457 | Ssc Sheridan Operating Company LLC | Skilled Nursing Facility | 1851 Big Horn Ave, Sheridan, WY 82801-5913 | 2007-04-03 |
| 1134275175 | Castle Rock Special Hospital District | Skilled Nursing Facility | 1445 Uinta Dr, Green River, WY 82935-5004 | 2007-01-25 |
| 1083771679 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1990 W Loucks St, Sheridan, WY 82801-4500 | 2007-01-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EMPRES AT CHEYENNE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.