Active NPI
Empower Home Care, LLC.
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1639687056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- L22270950
- Legal business name
- EMPOWER HOME CARE, LLC.
- Practice address
- 4020 N 20TH St Ste 214
Phoenix, AZ 85016-6030 - Phone
- (480) 562-8877
- Fax
- (866) 576-9928
- NPI assigned
- Jan 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thurman Dixon Gene
- Title
- Owner
- Phone
- (480) 562-8877
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | L22270950 | AZ | Primary |
Addresses
Primary practice location
4020 N 20TH St Ste 214
Phoenix, AZ 85016-6030
Mailing address
4020 N 20TH St Ste 214
Phoenix, AZ 85016-6030
Phone (480) 562-8877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L22270950 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
4020 N 20th St
Ste 214
Phoenix, AZ 85016
Phone (480) 562-8877
11225 N 28th Dr
Ste D115E
Phoenix, AZ 85029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723161600000",
"number": "1639687056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 N 20TH ST STE 214",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166030",
"telephone_number": "480-562-8877",
"fax_number": "866-576-9928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 N 20TH ST STE 214",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166030",
"telephone_number": "480-562-8877",
"fax_number": "866-576-9928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWER HOME CARE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-19",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A",
"authorized_official_last_name": "GENE",
"authorized_official_first_name": "THURMAN",
"authorized_official_middle_name": "DIXON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-562-8877",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "L22270950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L22270950",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.