Healthcare Provider Details

I. General information

NPI: 1851025258
Provider Name (Legal Business Name): EMPOWER SHECOLBYS MOVEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2022
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8737 SHANNON DR
STERLING HEIGHTS MI
48314-2527
US

IV. Provider business mailing address

8737 SHANNON DR
STERLING HEIGHTS MI
48314-2527
US

V. Phone/Fax

Practice location:
  • Phone: 313-427-7079
  • Fax:
Mailing address:
  • Phone: 313-427-7079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SHECOLBY LEMAY CABALLARO
Title or Position: OWNER
Credential: N/A
Phone: 313-427-7079