Healthcare Provider Details

I. General information

NPI: 1275987067
Provider Name (Legal Business Name): PK EMPOWERMENT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 01/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6475 S PARFET ST
LITTLETON CO
80127-2415
US

IV. Provider business mailing address

PO BOX 621812
LITTLETON CO
80162-1812
US

V. Phone/Fax

Practice location:
  • Phone: 720-839-1371
  • Fax:
Mailing address:
  • Phone: 720-839-1371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. PAMALA HELMICK
Title or Position: OWNDER
Credential:
Phone: 720-839-1371