JABEZ EMPOWERMENT, LLC (NPI# 1053602367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053602367 |
| Entity Type | Organization |
| Organization Name | JABEZ EMPOWERMENT, LLC |
| Practice Address |
175 Stateline Road Suite 4 Oak Grove KY 42262 |
| Mailing Address |
375 Dover Rd Ste B Clarksville TN 37042-4144 |
| Practice Telephone | 9319063993 |
| Practice Fax Number | 9315030472 |
| Mailing Telephone | 9319063993 |
| Mailing Fax Number | 9315030472 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-05-27 |
| Authorized Official Name | MS. CAROL CLARDY STEVENS (PRESIDENT) |
| Authorized Official Telephone | 9319063993 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 251E00000X | Home Health | KY | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | KY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1053602367 | 05 | |
| TN | 65 | 05 |
| Street Address |
175 STATELINE ROAD SUITE 4 |
| City | OAK GROVE |
| State | KY |
| Zip Code | 42262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023381969 | Jennifer Jean Johnson | Nurse Practitioner | 1654 Hugh Hunter Rd #20, Oak Grove, KY 42262 | 2012-02-22 |
| 1215171251 | Kimberly Cecil-riddle | Nurse Practitioner | 2801 Walter Garrett Lane, Oak Grove, KY 42262 | 2009-04-21 |
| 1598105488 | Randi Arlene Carr | Developmental Therapist | 304 Wilson Dr, Oak Grove, KY 42262-4210 | 2013-06-25 |
| 1780714956 | Maleka Monique Holmes | Social Worker | 180 Mandarin Dr, Oak Grove, KY 42262-7215 | 2007-03-06 |
| 1720454507 | Pennyroyal Healthcare Services, Inc. | Clinic/Center | 244 Thompsonville Ln, Oak Grove, KY 42262-8250 | 2015-08-17 |
| 1699129486 | Akeisha Danielle Peek | Developmental Therapist | 503 Gainey Dr, Oak Grove, KY 42262-8259 | 2016-04-18 |
| 1366859803 | Air Affiliates, Inc. | Durable Medical Equipment & Medical Supplies | 175 Stateline Rd Ste R-4, Oak Grove, KY 42262-8288 | 2014-07-16 |
| 1538482773 | Eddie A Manley | Nurse Practitioner | 175 Stateline Rd, Oak Grove, KY 42262-8288 | 2010-03-02 |
| 1902189541 | Priority Care Associates | Nurse Practitioner | 175 Stateline Rd, Oak Grove, KY 42262-8288 | 2011-09-20 |
| 1891712139 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 14800 Fort Campbell Blvd, Oak Grove, KY 42262-8304 | 2006-07-16 |
| Find all providers in zip 42262 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134621691 | Crossings Christian Counseling | Community/Behavioral Health | 1002 West Main, Oak Grove, LA 71263-7126 | 2018-03-01 |
| 1972975225 | Healing Life Health Center LLC | Community/Behavioral Health | 602 South Constitution Avenue, Oak Grove, LA 71263 | 2015-10-27 |
| 1568793636 | R W Consultant | Community/Behavioral Health | 10204 S Outer Belt Rd, Oak Grove, MO 64075-9084 | 2010-01-28 |
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| 1972101368 | Solutions Counseling Center Lllp | Community/Behavioral Health | 12700 Townepark Way Ste 305, Louisville, KY 40243-2543 | 2020-10-16 |
| 1710585088 | Vicki S Ragsdell, Phd Pllc | Community/Behavioral Health | 12004 Log Cabin Ln, Louisville, KY 40223-2218 | 2020-10-09 |
| 1255938411 | Intrinzik Health Care Services | Community/Behavioral Health | 620 Chieftain Dr, Fairdale, KY 40118-9678 | 2020-10-01 |
| 1609483031 | Divine Steps Inc. | Community/Behavioral Health | 3050 W Broadway Ste 1d, Louisville, KY 40211-1475 | 2020-09-29 |
| 1346855590 | First Choice Solution LLC. | Community/Behavioral Health | 285 E Sixth St, Lexington, KY 40508-1564 | 2020-09-14 |
| 1972129591 | Evolved Counseling | Community/Behavioral Health | 8814 Talon Ridge Dr, Louisville, KY 40229-6648 | 2020-06-19 |
| 1770107666 | Interconnected Behavior Essentials Skills Training & Conulting LLC | Community/Behavioral Health | 650 S Highway 27 Ste 5, Somerset, KY 42501-3501 | 2020-06-05 |
| 1497378111 | Alternative Youth Services, Inc. | Community/Behavioral Health | 11218 Professional Park Dr, Louisville, KY 40291-4476 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
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| 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.