Provider Demographics
NPI:1497770325
Name:EMPOWER HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:EMPOWER HOME HEALTH SERVICES, INC
Other - Org Name:CONTINENTAL HOME HEALTH CARE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:SURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-673-4110
Mailing Address - Street 1:999 W MAIN ST STE 140
Mailing Address - Street 2:
Mailing Address - City:WEST DUNDEE
Mailing Address - State:IL
Mailing Address - Zip Code:60118-2082
Mailing Address - Country:US
Mailing Address - Phone:847-673-4110
Mailing Address - Fax:847-673-0478
Practice Address - Street 1:200 WASHINGTON ST # 108
Practice Address - Street 2:
Practice Address - City:WEST DUNDEE
Practice Address - State:IL
Practice Address - Zip Code:60118-1240
Practice Address - Country:US
Practice Address - Phone:847-673-4110
Practice Address - Fax:847-673-0478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147852Medicare ID - Type Unspecified