Organization Active NPI

Empowering Supportive Care Inc

  • Developmental Disabilities Clinic/Center
  • Fort Pierce, FL
National Provider Identifier
1740770528
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
EMPOWERING SUPPORTIVE CARE INC
Practice address
2620 S 29TH St Apt B
Fort Pierce, FL 34981-5592
Phone
(772) 203-3896
NPI assigned
May 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Kimrorn Tolbert
Title
Ceo
Phone
(772) 203-3896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

2620 S 29TH St Apt B
Fort Pierce, FL 34981-5592

Mailing address

PO Box 427
Fort Pierce, FL 34954-0427
Phone (772) 203-3896

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1740770528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349540427",
            "telephone_number": "772-203-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S 29TH ST APT B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815592",
            "telephone_number": "772-203-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING SUPPORTIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "KIMRORN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-203-3896"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.