Organization Active NPI

Empowered Recovery Kansas City LLC

  • Substance Abuse Rehabilitation Facility
  • Kansas City, MO
National Provider Identifier
1124997978
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
EMPOWERED RECOVERY KANSAS CITY LLC
Practice address
4177 Broadway
Kansas City, MO 64111-2620
Phone
(470) 295-3152
NPI assigned
Oct 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Richardson Forrest
Title
Ceo
Phone
(470) 295-3152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4177 Broadway
Kansas City, MO 64111-2620

Mailing address

4177 Broadway
Kansas City, MO 64111-2620

National Provider Directory

National Provider Directory

Locations

4177 Broadway
Kansas City, MO 64111
Phone (470) 295-3152

NPI Registry JSON

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1124997978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4177 BROADWAY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4177 BROADWAY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112620",
            "telephone_number": "470-295-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED RECOVERY KANSAS CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "RICHARDSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-295-3152"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.