Empowerme Rehabilitation Illinois, LLC

Organization Active NPI Multi-Specialty Clinic/Center · Holland, MI

NPI 1548865876 · NPPES record last updated Oct 1, 2025

Key facts

NPI
1548865876
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
EMPOWERME REHABILITATION ILLINOIS, LLC
Practice address
340 W 40TH St
Holland, MI 49423-4600
Phone
(844) 502-7996
NPI assigned
Dec 3, 2020
Organization subpart
No

Authorized official

Name
John David Church
Title
Vice President of Finance
Phone
(618) 972-5228

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 374

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

View all 374

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210205002328 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365718277 Receives reassigned benefits from 30 practitioners
Practice locations: Holland, MI; Brighton, MI; Ann Arbor, MI; Commerce Township, MI

National Provider Directory

Tax ID family
Empowerme Rehabilitation Illinois LLC (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

340 W 40TH St
Holland, MI 49423-4600

Mailing address

PO Box 736005
Dallas, TX 75373-6005
Phone (844) 502-7996

Other practice location 1

5700 Water Tower Pl
Clarkston, MI 48346-2668
Phone (844) 502-7996

Other practice location 2

42010 7 Mile Rd
Northville, MI 48167-2222
Phone (844) 502-7996

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Other providers in Holland, MI

All providers in Holland, MI · Multi-Specialty Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.