Healthcare Provider Details

I. General information

NPI: 1437098357
Provider Name (Legal Business Name): EMPOWERED CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 STOCKTON DR
WILLIAMSTOWN NJ
08094-1988
US

IV. Provider business mailing address

625 STOCKTON DR
WILLIAMSTOWN NJ
08094-1988
US

V. Phone/Fax

Practice location:
  • Phone: 856-534-1667
  • Fax:
Mailing address:
  • Phone: 856-534-1667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: OMOLOLA ADEDOKUN
Title or Position: CEO
Credential:
Phone: 856-534-1667