Organization Active NPI

Empower Inclusion LLC

  • Developmentally Disabled Services Day Training Agency
  • Waconia, MN
National Provider Identifier
1013543867
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
EMPOWER INCLUSION LLC
Practice address
1098 Prairie View LN
Waconia, MN 55387-4001
Phone
(952) 373-1053
NPI assigned
Mar 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alexandra Rae Oladoyin
Title
Dir. Inclusive Employment/Owner
Phone
(952) 373-1053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1098 Prairie View LN
Waconia, MN 55387-4001

Mailing address

PO Box 181
Excelsior, MN 55331-0181
Phone (952) 373-1053

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1013543867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553310181",
            "telephone_number": "952-373-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 PRAIRIE VIEW LN",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874001",
            "telephone_number": "952-373-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER INCLUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "OLADOYIN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DIR. INCLUSIVE EMPLOYMENT/OWNER",
        "authorized_official_telephone_number": "952-373-1053"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.