Healthcare Provider Details

I. General information

NPI: 1619839305
Provider Name (Legal Business Name): EMPOWERGO SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 WOODRUFF RD STE 2100-320 STE 2100-320
GREENVILLE SC
29607-5950
US

IV. Provider business mailing address

2131 WOODRUFF RD STE 2100-320
GREENVILLE SC
29607-5950
US

V. Phone/Fax

Practice location:
  • Phone: 866-484-6928
  • Fax:
Mailing address:
  • Phone: 866-484-6928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. DENISE ERNUL
Title or Position: OWNER
Credential:
Phone: 864-729-2227