Provider Demographics
NPI:1033503545
Name:EMPOWERING FAMILIES
Entity Type:Organization
Organization Name:EMPOWERING FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:POWELLS
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELORS
Authorized Official - Phone:414-207-0416
Mailing Address - Street 1:4429 N 68TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-5534
Mailing Address - Country:US
Mailing Address - Phone:414-207-0416
Mailing Address - Fax:414-935-2301
Practice Address - Street 1:4429 N 68TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-5534
Practice Address - Country:US
Practice Address - Phone:414-207-0416
Practice Address - Fax:414-935-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI17220030Medicaid
WI442972260Medicaid