Provider Demographics
NPI:1477225787
Name:EMPOWER TRANS INC
Entity Type:Organization
Organization Name:EMPOWER TRANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KEYDI
Authorized Official - Middle Name:A
Authorized Official - Last Name:MEDRANO
Authorized Official - Suffix:
Authorized Official - Credentials:NEMT
Authorized Official - Phone:404-386-1931
Mailing Address - Street 1:1850 COTILLION DR UNIT 4323
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-7905
Mailing Address - Country:US
Mailing Address - Phone:404-386-1931
Mailing Address - Fax:
Practice Address - Street 1:1850 COTILLION DR UNIT 4323
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-7905
Practice Address - Country:US
Practice Address - Phone:404-386-1931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)