Provider Demographics
NPI:1801437587
Name:HEALING-EMPOWERMENT-RECOVERY LLC
Entity type:Organization
Organization Name:HEALING-EMPOWERMENT-RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICKIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-550-5800
Mailing Address - Street 1:353 SCHRAFFTS DR APT G8
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06705-3228
Mailing Address - Country:US
Mailing Address - Phone:203-550-5800
Mailing Address - Fax:
Practice Address - Street 1:353 SCHRAFFTS DR APT G8
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705-3228
Practice Address - Country:US
Practice Address - Phone:203-550-5800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based