Provider Demographics
NPI:1275987067
Name:PK EMPOWERMENT SERVICES, LLC
Entity Type:Organization
Organization Name:PK EMPOWERMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMALA
Authorized Official - Middle Name:
Authorized Official - Last Name:HELMICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-839-1371
Mailing Address - Street 1:PO BOX 621812
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80162-1812
Mailing Address - Country:US
Mailing Address - Phone:720-839-1371
Mailing Address - Fax:
Practice Address - Street 1:6475 S PARFET ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-2415
Practice Address - Country:US
Practice Address - Phone:720-839-1371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-18
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO73154814Medicaid