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EMPOWERING INDEPENDENCE LLC NPI 1124537782


NPI Information

NPI: 1124537782
Provider Name: EMPOWERING INDEPENDENCE, LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
17659 WATER FLUME WAY
MONUMENT, CO
ZIP 80132
Phone: (719) 354-6306
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EMPOWERING INDEPENDENCE, LLC is a day training developmentally disabled services in Monument, CO. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. EMPOWERING INDEPENDENCE, LLC NPI is 1124537782. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17659 WATER FLUME WAY
MONUMENT, CO
ZIP 80132-443
Phone: (719) 354-6306

The provider's authorized official is Christine Gray .
The authorized official title is Owner and has the following contact phone number (719) 354-6306.

The enumeration date for this NPI number is 9/27/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1172A00000XDriverNo
2253Z00000XIn Home Supportive CareNo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
5343900000XNon-emergency Medical Transport (VAN)No
6347C00000XPrivate VehicleNo
7376J00000XHomemakerNo
8385H00000XRespite CareNo
9385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
10251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19000159935MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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