MEDICARE: EMPOWERING OTHERS

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	251B00000X	Case Management Agency
3	261QC1500X	Community Health Clinic/Center
4	261QR1300X	Rural Health Clinic/Center
5	320800000X	Mental Illness Community Based Residential Treatment Facility
6	324500000X	Substance Abuse Rehabilitation Facility
7	343900000X	Non-emergency Medical Transport (VAN)
8	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1932927662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERING OTHERS

Provider Business Mailing Address
First Line	:	3600 CAMBRIDGE ST STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-4003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 CAMBRIDGE ST STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-4003
Country	:	US
Telephone Number	:	702-937-7789
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHNA DEAN
Credential	:
Telephone Number	:	702-937-7789

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	10/01/2024

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Directions to “EMPOWERING OTHERS ” Practice Location

Language	Start Address	Practice Location

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