Provider Demographics
NPI:1740323583
Name:FAMILY EMPOWERMENT, LLC
Entity type:Organization
Organization Name:FAMILY EMPOWERMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMPHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-329-8114
Mailing Address - Street 1:1121 MONTPELIER DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4423
Mailing Address - Country:US
Mailing Address - Phone:336-329-8114
Mailing Address - Fax:336-329-8117
Practice Address - Street 1:1121 MONTPELIER DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4423
Practice Address - Country:US
Practice Address - Phone:336-329-8114
Practice Address - Fax:336-329-8117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-041-782251C00000X
373H00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
Not Answered3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409551Medicaid