EMPOWERED FOR LIFE, LLC – NPI #1164673331
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

EMPOWERED FOR LIFE, LLC is a community based residential treatment facility located in WEST VALLEY CITY, UT. NPPES has assigned the NPI number 1164673331 to EMPOWERED FOR LIFE, LLC on October 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EMPOWERED FOR LIFE, LLC below.

NPI Profile for
EMPOWERED FOR LIFE, LLC

NPI Number
1164673331
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EMPOWERED FOR LIFE, LLC
Primary location
5004 WEST JANETTE DRIVE
WEST VALLEY CITY, UT 84120
Phone: (801) 244-6599 Fax: (801) 969-7105
Mailing address
1467 RIVERSIDE DR
SALT LAKE CITY, UT 84104-2116
Phone: (801) 244-6599 Fax: (801) 969-7105
Organization Subpart
No
Authorized Official
LINDA CASALLO
PRESIDENT
Phone: (801) 244-6599
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
UT 20071054

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.