MEDICARE: EMPOWERMENT CENTER OF SOUTHERN NEVADA 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	163WP0808X	Psychiatric/Mental Health Registered Nurse
2	171M00000X	Case Manager/Care Coordinator
3	251B00000X	Case Management Agency
4	261QA0600X	Adult Day Care Clinic/Center
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
6	261QP2300X	Primary Care Clinic/Center
7	291U00000X	Clinical Medical Laboratory
8	343900000X	Non-emergency Medical Transport (VAN)
9	251S00000X	Community/Behavioral Health Agency	NV20181464682	NV

General Provider Information

NPI Number	:	1700371002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERMENT CENTER OF SOUTHERN NEVADA LLC

Provider Business Mailing Address
First Line	:	1024 W OWENS AVE STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2520
Country	:	US
Telephone Number	:	702-636-8729
Fax Number	:	702-441-1808

Provider Business Practice Location Address
First Line	:	1024 W OWENS AVE STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2520
Country	:	US
Telephone Number	:	702-636-8729
Fax Number	:	702-441-1808

Authorized Official
Title or Position	:	OWNER
Name	:	JOHNA GAUFF
Credential	:
Telephone Number	:	702-721-8508

Provider Enumeration Date	:	06/28/2018
Last Update Date	:	12/06/2024

Similar Medicare Providers

1003295973 — KOREY ARNOLD
Practice Location Address:

1024 W OWENS AVE STE B
LAS VEGAS, NV
89106-2520

Practice Phone: 702-884-3133
Practice Fax:

1982076576 — HENRY THORNS SR.
Practice Location Address:

1024 W OWENS AVE
LAS VEGAS, NV
89106-2520

Practice Phone: 702-877-9850
Practice Fax: 702-877-9870

1003360058 — FITZWILLIAM ESELE MUSOKO APRN
Practice Location Address:

1024 W OWENS AVE
LAS VEGAS, NV
89106-2520

Practice Phone: 813-420-5470
Practice Fax:

1356888358 — CARE COMMUNITY CORNER
Practice Location Address:

1052 W OWENS AVE
LAS VEGAS, NV
89106-2520

Practice Phone: 702-877-9850
Practice Fax:

1861907545 — VENUS JONES
Practice Location Address:

1020 W OWENS AVE # 5
LAS VEGAS, NV
89106-2520

Practice Phone: 702-459-7500
Practice Fax:

1366922700 — JUSTICE EDWARD JACKSON-HALEY
Practice Location Address:

1024 W OWENS AVE
LAS VEGAS, NV
89106-2520

Practice Phone: 702-877-9850
Practice Fax:

Directions to “EMPOWERMENT CENTER OF SOUTHERN NEVADA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.