MEDICARE: EMPOWER CARE PARTNERS LV LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1366257024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWER CARE PARTNERS LV LLC

Provider Business Mailing Address
First Line	:	8325 SPANISH CREEK CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-4688
Country	:	US
Telephone Number	:	702-325-0209
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 S VALLEY VIEW BLVD STE 208
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1857
Country	:	US
Telephone Number	:	702-325-0209
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAHIM STATEN
Credential	:
Telephone Number	:	702-325-0209

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	02/10/2025

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