EMPOWERING SUPPORTIVE CARE INC


Address: 2620 S 29th St Apt B, Fort Pierce, FL 34981-5592
Phone: 7722033896

EMPOWERING SUPPORTIVE CARE INC (NPI# 1740770528) 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) 1740770528
Entity Type Organization
Organization Name EMPOWERING SUPPORTIVE CARE INC
Practice Address 2620 S 29th St Apt B
Fort Pierce
FL 34981-5592
Mailing Address Po Box 427
Fort Pierce
FL 34954-0427
Practice Telephone 7722033896
Mailing Telephone 7722033896
Enumeration Date 2018-05-16
Last Update Date 2018-05-16
Authorized Official Name KIMRORN TOLBERT (CEO)
Authorized Official Telephone 7722033896
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Office Location

Street Address 2620 S 29TH ST APT B
City FORT PIERCE
State FL
Zip Code 34981-5592

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1407105620 Shanedelle Norford Pathology 2500 S 35th St, Fort Pierce, FL 34981 2012-09-04
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1184817934 John Anthony Schwerer Dentist 4634 S 25th St, Ft Pierce, FL 34981 2007-08-24
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1720180912 Mary E Thomas Social Worker 4500 West Midway Road, Fort Pierce, FL 34981 2006-09-01
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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

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1285128488 A and R Non Emergency Medical Transportation Service LLC Clinic/Center 2140 N Us Highway 1, Fort Pierce, FL 34946-8993 2018-06-20
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1285147207 A Caring Alternative Healthcare Inc Clinic/Center 2134 N Us Highway 1, Fort Pierce, FL 34946-8993 2017-11-13
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Competitor

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City FORT PIERCE
Zip Code 34981

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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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