Organization
EMPOWERING INDEPENDENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE GRAY (OWNER)
(719) 354-6306
Entity
Organization
Contact information
Practice address
17659 WATER FLUME WAY, MONUMENT, CO 80132-7443
(719) 354-6306
Mailing address
17659 WATER FLUME WAY, MONUMENT, CO 80132-7443
(719) 354-6306
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000159935
—
CO
Enumeration date
09/27/2017
Last updated
07/21/2022
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