Active NPI
Empower Living Services LLC
- Counselor
- Bloomington, MN
National Provider Identifier
1063194140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- EMPOWER LIVING SERVICES LLC
- Practice address
- 1701 American Blvd E Ste 16
Bloomington, MN 55425-1401 - Phone
- (612) 756-9140
- NPI assigned
- Aug 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aisha M Adan, RN
- Title
- Registered Nurse
- Phone
- (612) 756-9140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1701 American Blvd E Ste 16
Bloomington, MN 55425-1401
Mailing address
1701 American Blvd E Ste 16
Bloomington, MN 55425-1401
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1063194140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 AMERICAN BLVD E STE 16",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 AMERICAN BLVD E STE 16",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251401",
"telephone_number": "612-756-9140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWER LIVING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "ADAN",
"authorized_official_first_name": "AISHA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "REGISTERED NURSE",
"authorized_official_telephone_number": "612-756-9140",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.