The Empower House, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

BH4796 Issued in AZ

Legal business name

THE EMPOWER HOUSE, LLC

Practice address

18631 N. 19TH Ave., Suite 158-305
Phoenix, AZ 85027

Phone

(623) 986-3987

NPI assigned

Mar 10, 2016

Organization subpart

Yes

Parent organization

VOICES EMPOWERED, LLCAs reported in NPPES

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

Authorized official

Name

Wendy Y. Shepherd, MA

Title

Administrator

Phone

(623) 986-3987

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1710348362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18631 N. 19TH AVE., SUITE 158-305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "telephone_number": "623-986-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18631 N. 19TH AVE., SUITE 158-305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "telephone_number": "623-986-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMPOWER HOUSE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VOICES EMPOWERED, LLC",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-986-3987",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH4796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.