Healthcare Provider Details

I. General information

NPI: 1780471409
Provider Name (Legal Business Name): EMPOWER HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CHANDLER ST
ROCKLEDGE PA
19046-4310
US

IV. Provider business mailing address

85 N MAIN ST
BRANFORD CT
06405-3034
US

V. Phone/Fax

Practice location:
  • Phone: 267-770-0105
  • Fax:
Mailing address:
  • Phone: 267-770-0105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. ANGELA GARNER
Title or Position: OWNER
Credential:
Phone: 267-770-0105