Healthcare Provider Details

I. General information

NPI: 1558274498
Provider Name (Legal Business Name): EMPOWERED CHOICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 N 9TH ST LOT 175
CARTER LAKE IA
51510-1350
US

IV. Provider business mailing address

3510 N 9TH ST LOT 175
CARTER LAKE IA
51510-1350
US

V. Phone/Fax

Practice location:
  • Phone: 402-482-8622
  • Fax: 402-982-4099
Mailing address:
  • Phone: 402-482-8622
  • Fax: 402-982-4099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. CRYSTAL NICOLE EVERETT
Title or Position: CEO/OWNER
Credential: RN
Phone: 402-671-1661