Healthcare Provider Details
I. General information
NPI: 1164092912
Provider Name (Legal Business Name): EMPOWERING ABILITY TODAY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2021
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2851 S PARKER RD STE 960
AURORA CO
80014-2705
US
IV. Provider business mailing address
2851 S PARKER RD STE 960
AURORA CO
80014-2705
US
V. Phone/Fax
- Phone: 720-229-2376
- Fax:
- Phone: 720-229-2376
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
BRIAN
WILSON
Title or Position: DIRECTOR
Credential:
Phone: 720-229-2376