Healthcare Provider Details

I. General information

NPI: 1558270637
Provider Name (Legal Business Name): 365 EMPOWERMENT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1712 S ATLANTA AVE
RUSSELLVILLE AR
72802-2602
US

IV. Provider business mailing address

1712 S ATLANTA AVE
RUSSELLVILLE AR
72802-2602
US

V. Phone/Fax

Practice location:
  • Phone: 479-438-1965
  • Fax:
Mailing address:
  • Phone: 479-438-1965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. SAMANTHA JO SCHLUTERMAN
Title or Position: CEO/CO-OWNER
Credential:
Phone: 479-438-1965