EMPOWERED LIFE (NPI# 1649838459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649838459 |
| Entity Type | Organization |
| Organization Name | EMPOWERED LIFE |
| Practice Address |
103 Wilkes Dr Ste E Monroe NC 28110-2798 |
| Mailing Address |
11012 Persimmon Creek Dr Mint Hill NC 28227-6687 |
| Practice Telephone | 7045772139 |
| Mailing Telephone | 7045772139 |
| Mailing Fax Number | 8442721223 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Authorized Official Name | FASHENDA LITTLE-GERALD (PRESIDENT) |
| Authorized Official Telephone | 7045772139 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 347E00000X | Transportation Broker | Transportation Services | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EMPOWERED LIFE CHURCH | Empowered Life Church, 322 South Pacific Hwy, Talent, OR 97540 |
| Colorado Business Entities | Empowered Life Counseling Services, LLC | 321 Strasburg Dr, Fort Collins, CO 80525 |
| New York State Corporations | EMPOWERED LIFE MENTAL HEALTH COUNSELING P.C. | 90 State Street Ste 700, Office 40, Albany, Ny 12207 |
| Iowa Business Entities | EMPOWERED LIFE STORES LLC | 7498 E 46th Pl, Tulsa, OK 74145 |
| Washington State Corporations | EMPOWERED LIFE WELLNESS LLC | 36105 Ne 80th St, Carnation, WA 98014-6500 |
| Iowa Business Entities | EMPOWERED LIFE, L.L.C. | 163 56th Pl., West Des Moines, IA 50266 |
| System for Award Management (SAM) Entities | EMPOWERED LIFESTYLE USA INC. | 8625 Reedy Branch Dr, Jacksonville, FL 32256-9095 |
| Connecticut Business Registrations | EMPOWERED LIFESTYLE, LLC | 598 Oakwood Drive, Glastonbury, CT 06033 |
| Street Address |
103 WILKES DR STE E |
| City | MONROE |
| State | NC |
| Zip Code | 28110-2798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| 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 |
|---|---|---|---|---|
| 1619585122 | Cf Counseling & Consulting, LLC | Community/Behavioral Health | 1500 N 19th St, Monroe, LA 71201-4942 | 2020-07-21 |
| 1700347598 | Aspirewell, LLC | Community/Behavioral Health | 1615 Jackson St, Monroe, LA 71202-2029 | 2019-03-26 |
| 1780160390 | Special Care Services of Louisiana Inc | Community/Behavioral Health | 1401 Hudson Ln Ste 135, Monroe, LA 71201-6037 | 2018-07-17 |
| 1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
| 1740789312 | Merakey Pennsylvania | Community/Behavioral Health | 1808 Glenmar Ave, Monroe, LA 71201-4932 | 2018-02-08 |
| 1427563550 | Oak Tree Therapy Pllc | Community/Behavioral Health | 755 Main Street, Building #1, Monroe, CT 06468 | 2017-12-12 |
| 1972016004 | Straight N Arrow Counseling Service, LLC | Community/Behavioral Health | 111 E 1st St Ste 300, Monroe, MI 48161-2265 | 2017-11-11 |
| 1346761822 | Inreach | Community/Behavioral Health | 100 Winchester Ave, Monroe, NC 28110-3161 | 2017-07-05 |
| 1124552088 | The Bridge of Georgia School, Inc | Community/Behavioral Health | 109 Blaine St, Monroe, GA 30655-2403 | 2017-04-18 |
| 1831630326 | New Direction Peer Recovery Center | Community/Behavioral Health | 201 W Front St, Monroe, MI 48161-2355 | 2017-03-16 |
| Find all providers in MONROE | ||||
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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.