NPIMap

Organization Active NPI

Empowered Community Services, LLC.

  • Adult Day Care Clinic/Center
  • Englewood, OH
National Provider Identifier
1114513942
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
EMPOWERED COMMUNITY SERVICES, LLC.
Doing business as
Empowered Community Services, LLC.
Practice address
500 Union Blvd
Englewood, OH 45322-2100
Phone
(937) 771-0776
NPI assigned
Dec 16, 2020
Last updated
Dec 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Joseph Kowalski
Title
Ceo
Phone
(937) 771-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

500 Union Blvd
Englewood, OH 45322-2100

Mailing address

4205 E Lake Rd
Sheffield Lake, OH 44054-1102
Phone (440) 653-5191

Other names 1

  • Empowered Community Services, LLC. Doing business as

National Provider Directory

National Provider Directory

Locations

500 Union Blvd
Englewood, OH 45322
Phone (937) 771-0776

4205 E Lake Rd
Sheffield Lake, OH 44054

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1114513942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 E LAKE RD",
            "city": "SHEFFIELD LAKE",
            "state": "OH",
            "postal_code": "440541102",
            "telephone_number": "440-653-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNION BLVD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222100",
            "telephone_number": "937-771-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED COMMUNITY SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-771-0776"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empowered Community Services, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.