Healthcare Provider Details

I. General information

NPI: 1225946593
Provider Name (Legal Business Name): EMPOWER COMMUNITY HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7205 THACKLEY WAY
HANOVER MD
21076-2210
US

IV. Provider business mailing address

3114 GOLANSKY BLVD STE 202
WOODBRIDGE VA
22192-4231
US

V. Phone/Fax

Practice location:
  • Phone: 646-875-2767
  • Fax:
Mailing address:
  • Phone: 646-875-2767
  • 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

VIII. Authorized Official

Name: PAMELA TACHANG
Title or Position: OWNER
Credential: REGISTER NURSE
Phone: 646-875-2567