EMPOWERMENT BEHAVIORAL CARE LLC


Address: 6448 W Colter St, Glendale, AZ 85301-6527
Phone: 6232060557

EMPOWERMENT BEHAVIORAL CARE LLC (NPI# 1528529856) 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) 1528529856
Entity Type Organization
Organization Name EMPOWERMENT BEHAVIORAL CARE LLC
Practice Address 6448 W Colter St
Glendale
AZ 85301-6527
Practice Telephone 6232060557
Mailing Telephone 6232060557
Enumeration Date 2019-03-28
Last Update Date 2019-03-28
Authorized Official Name KENNETH J MIMS (OWNER/PROGRAM DIRECTOR)
Authorized Official Telephone 6025070320
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Office Location

Street Address 6448 W COLTER ST
City GLENDALE
State AZ
Zip Code 85301-6527

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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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1619505054 Joy Recovery and Behavioral Health, LLC Community Based Residential Treatment Facility, Mental Illness 24212 N 42nd Dr, Glendale, AZ 85310-3232 2020-03-31
1275163214 Alpine Villa LLC Community Based Residential Treatment Facility, Mental Illness 17219 N Lindner Dr, Glendale, AZ 85308-3308 2020-01-17
1730607300 Sonoran Sky Community, Inc. Community Based Residential Treatment Facility, Mental Illness 5710 W Orchid Ln, Glendale, AZ 85302-4654 2017-09-05
1861932097 Ska-shifra Facility Community Based Residential Treatment Facility, Mental Illness 7136 N 73rd Dr, Glendale, AZ 85303-2569 2017-03-07
1528504826 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 4214 W Behrend Dr, Glendale, AZ 85308-2284 2017-01-10
1134665680 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 4912 W Echo Ln, Glendale, AZ 85302-6315 2017-01-09
1588100036 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 8028 N 56th Ln, Glendale, AZ 85302-4661 2017-01-09
1679019129 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 19808 N 42nd Ave, Glendale, AZ 85308-2291 2017-01-09
1710423389 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 3912 W Potter Dr, Glendale, AZ 85308-4605 2017-01-06
1366988933 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 5148 W. Frier Dr, Glendale, AZ 85301 2017-01-06
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Competitor

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City GLENDALE
Zip Code 85301

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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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