MEDICARE: OHIO EMPOWERMENT SERVICES INC

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1740043157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO EMPOWERMENT SERVICES INC

Provider Business Mailing Address
First Line	:	1676 DALLAS DR STE C
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-1409
Country	:	US
Telephone Number	:	225-205-9702
Fax Number	:

Provider Business Practice Location Address
First Line	:	6659 PEARL RD STE 402
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-3821
Country	:	US
Telephone Number	:	833-928-1448
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	XYLON WALKER
Credential	:
Telephone Number	:	919-332-5425

Provider Enumeration Date	:	01/31/2024
Last Update Date	:	01/31/2024

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