Healthcare Provider Details

I. General information

NPI: 1972498194
Provider Name (Legal Business Name): EMPOWERCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7109 WILLOWWOOD ST
ORLANDO FL
32818-5848
US

IV. Provider business mailing address

7109 WILLOWWOOD ST
ORLANDO FL
32818-5848
US

V. Phone/Fax

Practice location:
  • Phone: 407-793-3388
  • Fax:
Mailing address:
  • Phone: 407-793-3388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: JEAN JOSEPH KINDY ELIACIN
Title or Position: CEO
Credential:
Phone: 407-793-3388