Empower Home Health LLC

Organization Active NPI Home Health Agency · Willis, TX

NPI 1104501279 · NPPES record last updated Feb 26, 2026

Key facts

NPI
1104501279
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare Care Compare: Home health agency

Listed as
Empower Home Health LLC CCN 748168
Ownership
Proprietary
Certified
Aug 27, 2025
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

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
LLC · Proprietary
Incorporated
Mar 24, 2023 in TX
Enrollment address
309 W Montgomery St
Suite H
Willis, TX 77378-8649

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 Interest
Owner-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 Interest
Owner-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 Interest
Alternate Administrator-MD-Owner
Sep 11, 2023 33.3%
Corporate Officer Mar 24, 2023 100%
Operational/Managerial Control Mar 24, 2023 100%

Medicare enrollment records

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

National Provider Directory

Locations

5610 W Davis St
Conroe, TX 77304

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes
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

Other providers in Willis, TX

All providers in Willis, TX · Home Health Agency in Texas

Sources for this page

Verify at the official NPI Registry.