Provider Demographics
NPI:1497339212
Name:EMPOWER TO INSPIRE ADULT DAY PROGRAM, LLC
Entity Type:Organization
Organization Name:EMPOWER TO INSPIRE ADULT DAY PROGRAM, LLC
Other - Org Name:EMPOWER TO INSPIRE ADULT DAY PROGRAM, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JONEITA
Authorized Official - Middle Name:
Authorized Official - Last Name:FONTENETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-210-9150
Mailing Address - Street 1:7041 READ LN
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-2366
Mailing Address - Country:US
Mailing Address - Phone:504-354-9763
Mailing Address - Fax:504-459-2552
Practice Address - Street 1:7041 READ LN
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-2366
Practice Address - Country:US
Practice Address - Phone:504-210-9150
Practice Address - Fax:504-910-8604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services