Healthcare Provider Details

I. General information

NPI: 1780196915
Provider Name (Legal Business Name): EMPOWERING HOME SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2017
Last Update Date: 08/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 S ST NW
WASHINGTON DC
20001-1128
US

IV. Provider business mailing address

114 EMORY WOODS CT
GAITHERSBURG MD
20877-3540
US

V. Phone/Fax

Practice location:
  • Phone: 202-680-9551
  • Fax: 240-474-5944
Mailing address:
  • Phone: 202-680-9951
  • Fax: 240-474-5944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateDC

VIII. Authorized Official

Name: MR. NELSON PEAY
Title or Position: CEO
Credential:
Phone: 202-680-9951