Active NPI
Empowered Care, LLC
- Child Intellectual and/or Developmental Disabilities Respite Care
- Colorado Springs, CO
National Provider Identifier
1922457043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- EMPOWERED CARE, LLC
- Practice address
- 2020 N Academy Blvd
Suite 376
Colorado Springs, CO 80909 - Phone
- (719) 465-3905
- Fax
- (719) 465-1254
- NPI assigned
- Jun 9, 2016
- 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
- Ms. Trachell Harris, MBA
- Title
- Ceo
- Phone
- (719) 465-3905
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
2020 N Academy Blvd
Suite 376
Colorado Springs, CO 80909
Mailing address
2020 N Academy Blvd
Suite 376
Colorado Springs, CO 80909
Phone (719) 465-3905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28855035 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
2020 N Academy Blvd
Ste 376
Colorado Springs, CO 80909
Phone (719) 465-3905
685 Citadel Dr E
Ste 510
Colorado Springs, CO 80909
Phone (303) 808-8466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659052800000",
"number": "1922457043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 N ACADEMY BLVD",
"address_2": "SUITE 376",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80909",
"telephone_number": "719-465-3905",
"fax_number": "719-465-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 N ACADEMY BLVD",
"address_2": "SUITE 376",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80909",
"telephone_number": "719-465-3905",
"fax_number": "719-465-1254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERED CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-09",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "TRACHELL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "719-465-3905",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28855035",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.