Empower Residential Wellness Center LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

EMPOWER RESIDENTIAL WELLNESS CENTER LLC

Practice address

22119 Bassett St
Canoga Park, CA 91303-2305

Phone

(618) 803-8816

Fax

(949) 281-7676

NPI assigned

Apr 17, 2023

Last updated

Apr 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Brewer

Title

Director

Phone

(618) 803-8816

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1568158152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 CHAPARRAL CT",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910013859",
            "telephone_number": "618-803-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22119 BASSETT ST",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032305",
            "telephone_number": "618-803-8816",
            "fax_number": "949-281-7676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19154 Strathern St",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913351124",
            "country_code": "US",
            "telephone_number": "618-803-8816",
            "fax_number": "949-281-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWER RESIDENTIAL WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-15",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "618-803-8816",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Residential Treatment Facility in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.