Healthcare Provider Details

I. General information

NPI: 1447399514
Provider Name (Legal Business Name): EMPOWERMENT GROUP HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5522 WOODBERRY RD
DURHAM NC
27707-5359
US

IV. Provider business mailing address

1905 LANDON FARMS LN
DURHAM NC
27704-4792
US

V. Phone/Fax

Practice location:
  • Phone: 919-403-6300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number032326
License Number StateNC

VIII. Authorized Official

Name: TAMMIE HOLLINGSWORTH
Title or Position: PRESIDENT
Credential:
Phone: 919-949-1433