Provider Demographics
NPI:1215374525
Name:EMPIRICAL CARE GROUP, LLC
Entity Type:Organization
Organization Name:EMPIRICAL CARE GROUP, LLC
Other - Org Name:EMPIRICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-228-1691
Mailing Address - Street 1:1828 EUCLID AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-7427
Mailing Address - Country:US
Mailing Address - Phone:504-228-1691
Mailing Address - Fax:
Practice Address - Street 1:1828 EUCLID AVE
Practice Address - Street 2:APT 3
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-7427
Practice Address - Country:US
Practice Address - Phone:504-228-1691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health