Organization Active NPI

Empowering Minds LLC

  • In Home Supportive Care Agency
  • Randolph, MA
National Provider Identifier
1295613875
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EMPOWERING MINDS LLC
Practice address
34 Petipas LN
Randolph, MA 02368-4920
Phone
(857) 212-4969
NPI assigned
Aug 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Quennha Moore
Title
Owner
Phone
(857) 212-4969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

34 Petipas LN
Randolph, MA 02368-4920

Mailing address

34 Petipas LN
Randolph, MA 02368-4920
Phone (857) 212-4969

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1295613875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PETIPAS LN",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684920",
            "telephone_number": "857-212-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PETIPAS LN",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684920",
            "telephone_number": "857-212-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "QUENNHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-212-4969"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.