MEDICARE: EMPOWERGO SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	177F00000X	Lodging Provider
3	251C00000X	Developmentally Disabled Services Day Training Agency
4	347E00000X	Transportation Broker
5	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1619839305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERGO SERVICES

Provider Business Mailing Address
First Line	:	2131 WOODRUFF RD STE 2100-320
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-5950
Country	:	US
Telephone Number	:	866-484-6928
Fax Number	:

Provider Business Practice Location Address
First Line	:	2131 WOODRUFF RD STE 2100-320
Second Line	:	STE 2100-320
City	:	GREENVILLE
State	:	SC
Zip	:	29607-5950
Country	:	US
Telephone Number	:	866-484-6928
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. DENISE ERNUL
Credential	:
Telephone Number	:	864-729-2227

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “EMPOWERGO SERVICES ” Practice Location

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