Provider Demographics
NPI:1487147187
Name:EMPOWERED HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:EMPOWERED HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:TEEYONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-622-4086
Mailing Address - Street 1:2755 DENMARK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4635
Mailing Address - Country:US
Mailing Address - Phone:614-622-4086
Mailing Address - Fax:
Practice Address - Street 1:2755 DENMARK RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4635
Practice Address - Country:US
Practice Address - Phone:614-622-4086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care