Provider Demographics
NPI:1891411765
Name:EMPYREAN HOME CARE, LLC
Entity Type:Organization
Organization Name:EMPYREAN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RORI
Authorized Official - Middle Name:N
Authorized Official - Last Name:ALSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-761-2163
Mailing Address - Street 1:161 CHIPLEY CT
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-8423
Mailing Address - Country:US
Mailing Address - Phone:270-799-6033
Mailing Address - Fax:678-466-8343
Practice Address - Street 1:2719 LETAP CT STE 1A2719
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-7229
Practice Address - Country:US
Practice Address - Phone:678-761-2163
Practice Address - Fax:352-806-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care