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General NPI Number Information
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NPI Number | 1861035115
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Entity Type | Organization
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Legal Business Name | EMPOWERED CARE, LLC
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Dates
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Enumeration Date | 10/18/2019
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 4433 WOODSON RD STE 220A
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City | SAINT LOUIS
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State | MO
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Zip | 63134-3721
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Country | US
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Telephone | 314-794-4115
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Fax | 314-794-4116
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Provider Business Mailing Address
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Address Line | 4433 WOODSON RD STE 220A
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City | SAINT LOUIS
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State | MO
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Zip | 63134-3721
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Country | US
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Telephone | 314-794-4115
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Fax | 314-794-4116
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | ANNYA MOODY
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Credential | MSN
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Telephone | 314-794-4115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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