Organization Active NPI

Empower Home Health LLC

  • Home Health Agency
  • Willis, TX
National Provider Identifier
1104501279
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EMPOWER HOME HEALTH LLC
Practice address
309 W Montgomery St Unit H
Willis, TX 77378-8649
Phone
(936) 280-4782
Fax
(936) 233-8889
NPI assigned
Jun 16, 2023
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Amanda Mudge
Title
Supervising Nurse
Phone
(832) 604-3416

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X

Addresses

Primary practice location

309 W Montgomery St Unit H
Willis, TX 77378-8649

Mailing address

309 W Montgomery St Unit H
Willis, TX 77378-8649
Phone (936) 280-4782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250123000458 TX Part A Provider - Home Health Agency 5496284259 Practice locations: Willis, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104501279. Details of each certification follow.

Home health agency certification: CCN 748168

Legal name
EMPOWER HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 27, 2025
Last certification
Jul 25, 2025
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 24, 2023 in TX
Enrollment address
309 W Montgomery St
Suite H
Willis, TX 77378-8649

Care Compare: Home health agency

Medicare Care Compare
Listed as
Empower Home Health LLCCCN 748168 · All quality measures
Ownership
Proprietary
Certified
Aug 27, 2025
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

5610 W Davis St
Conroe, TX 77304

309 W Montgomery St
Unit H
Willis, TX 77378
Phone (936) 280-4782

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amanda Mudge Individual 5% Or Greater Direct Ownership InterestOwner-Director of Nursing- RN Sep 11, 2023 33.3%
Corporate Officer Mar 24, 2023 100%
Operational/Managerial Control Mar 24, 2023 100%
Roni Parrish-Hamner Individual W-2 Managing Employee Sep 11, 2023 100%
Operational/Managerial Control Sep 11, 2023 100%
Shebly Brown Individual 5% Or Greater Direct Ownership InterestOwner-Administrator-RN Sep 11, 2023 33.4%
Corporate Director Mar 24, 2023 100%
Operational/Managerial Control Mar 24, 2023 100%
Aries P Bajoyo Individual 5% Or Greater Direct Ownership InterestAlternate Administrator-MD-Owner Sep 11, 2023 33.3%
Corporate Officer Mar 24, 2023 100%
Operational/Managerial Control Mar 24, 2023 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1104501279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W MONTGOMERY ST UNIT H",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773788649",
            "telephone_number": "936-280-4782",
            "fax_number": "936-233-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W MONTGOMERY ST UNIT H",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773788649",
            "telephone_number": "936-280-4782",
            "fax_number": "936-233-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "MUDGE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "SUPERVISING NURSE",
        "authorized_official_telephone_number": "832-604-3416"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willis, TX

Sources for this page

Verify at the official NPI Registry.