EMPOWERMENT HEALTHCARE SYSTEMS,LLC


Address: 1055 Taylor Ave Ste 216, Towson, MD 21286-8341
Phone: 1032119614

EMPOWERMENT HEALTHCARE SYSTEMS,LLC (NPI# 1003314675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003314675
Entity Type Organization
Organization Name EMPOWERMENT HEALTHCARE SYSTEMS,LLC
Other Organization Name EHS
Practice Address 1055 Taylor Ave Ste 216
Towson
MD 21286-8341
Mailing Address Po Box 18844
Baltimore
MD 21206-0844
Practice Telephone 1032119614
Practice Fax Number 4103211962
Mailing Telephone 4106988284
Enumeration Date 2018-01-29
Last Update Date 2020-05-15
Authorized Official Name DR. DAMIAN AYICHI (PRINCIPAL ASSOCIATE/CEO)
Authorized Official Telephone 4106988284
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
Physician Assistants & Advanced Practice Nursing Providers
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MD 528016800 05

Other Provider/Organization Names

Other Name Type Code
EHS Former Legal Business Name - Organization

Office Location

Street Address 1055 TAYLOR AVE STE 216
City TOWSON
State MD
Zip Code 21286-8341

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922621580 Empowerment Healthcare Systems, LLC Nurse Practitioner 1055 Taylor Ave Ste 216, Towson, MD 21286-8341 2020-05-18

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1609337021 Tyler James Howard Psychologist 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 2019-03-28
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1831667799 Casey O'sullivan Counselor 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 2018-11-08
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City TOWSON
Zip Code 21286

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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