NPIMap

Organization Active NPI

Empowerment Quality Care Services, LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1437384302
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMPOWERMENT QUALITY CARE SERVICES, LLC
Practice address
8535 Cliff Cameron Dr Ste 100
Charlotte, NC 28269-5909
Phone
(704) 717-7477
Fax
(704) 717-7457
NPI assigned
May 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Mr. Andre Reynolds
Title
Ceo
Phone
(704) 717-7477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

8535 Cliff Cameron Dr Ste 100
Charlotte, NC 28269-5909

Mailing address

8535 Cliff Cameron Dr Ste 100
Charlotte, NC 28269-5909
Phone (704) 717-7477

Other practice location 1

121 W Council St Ste 101&102
Salisbury, NC 28144-4377
Phone (704) 603-6156

Other practice location 2

1047 Gaston St
Lincolnton, NC 28092-3725
Phone (980) 429-2830

Other identifiers 1

IdentifierTypeStateIssuer
8302830MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210604000728 NC Part B Supplier - Clinic/Group Practice 5395144737 Receives reassigned benefits from 8 practitioners
Practice locations: Charlotte, NC; Lincolnton, NC; Salisbury, NC

National Provider Directory

National Provider Directory

Locations

8535 Cliff Cameron Dr
Ste 100
Charlotte, NC 28269
Phone 7047177477 ext. 3007

416 McCullough Dr
Ste 100
Charlotte, NC 28262
Phone (704) 921-9943

8535 Cliff Cameron Dr
Charlotte, NC 28269
Phone (704) 717-7477

1047 Gaston St
Lincolnton, NC 28092
Phone (704) 603-6156

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1437384302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 CLIFF CAMERON DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695909",
            "telephone_number": "704-717-7477",
            "fax_number": "704-717-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8535 CLIFF CAMERON DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695909",
            "telephone_number": "704-717-7477",
            "fax_number": "704-717-7457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 W Council St Ste 101&102",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281444377",
            "country_code": "US",
            "telephone_number": "704-603-6156",
            "fax_number": "704-717-7457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1047 Gaston St",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280923725",
            "country_code": "US",
            "telephone_number": "980-429-2830",
            "fax_number": "704-717-7457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWERMENT QUALITY CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-717-7477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302830",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.