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EMPOWERED CARE LLC NPI 1922457043


NPI Information

NPI: 1922457043
Provider Name: EMPOWERED CARE, LLC
Classification: Respite Care - 385HR2060X
Entity Type: Organization

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
2020 N ACADEMY BLVD
SUITE 376
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 465-3905
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EMPOWERED CARE, LLC is a respite care and mental retardation and/or developmental disabilities respite care in Colorado Springs, CO. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. EMPOWERED CARE, LLC NPI is 1922457043. The provider is registered as an organization entity type.

The provider's business location address is:

2020 N ACADEMY BLVD
SUITE 376
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 465-3905
Fax: (719) 465-1254

The provider's authorized official is Trachell Harris .
The authorized official title is Ceo and has the following contact phone number (719) 465-3905.

The enumeration date for this NPI number is 6/9/2016 and was last updated on 7/29/2022.


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
1347C00000XPrivate VehicleNo
2373H00000XDay Training/Habilitation SpecialistNo
33747P1801XTechnicianPersonal Care AttendantNo
4376J00000XHomemakerNo
5385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesYes

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
128855035MEDICAIDCOLORADO

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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