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Contact Information

JABEZ EMPOWERMENT, LLC
175 STATELINE ROAD
SUITE 4
OAK GROVE, KY42262
 Phone: 931-906-3993
 Fax: 931-503-0472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for JABEZ EMPOWERMENT, LLC

NPI # 1053602367
LBN Legal business name JABEZ EMPOWERMENT, LLC
Authorized official CAROL STEVENS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/21/2011
Last updated 05/27/2011 - About 15 years ago
Identifiers
KY Medicaid 1053602367
TN Medicaid 65
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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