Provider Demographics
NPI:1780196915
Name:EMPOWERING HOME SERVICES LLC
Entity Type:Organization
Organization Name:EMPOWERING HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:PEAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-680-9951
Mailing Address - Street 1:114 EMORY WOODS CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-3540
Mailing Address - Country:US
Mailing Address - Phone:202-680-9951
Mailing Address - Fax:240-474-5944
Practice Address - Street 1:66 S ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1128
Practice Address - Country:US
Practice Address - Phone:202-680-9551
Practice Address - Fax:240-474-5944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-27
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QD1600X
DC320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities