| Empowerment Quality Care Services, Llc | |
|
8535 Cliff Cameron Dr Ste 100 Charlotte NC 28269-5909 | |
| (704) 717-7477 | |
| (704) 717-7457 |
| Full Name | Empowerment Quality Care Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8535 Cliff Cameron Dr Ste 100, Charlotte, North Carolina |
| Authorized Official Name and Position | Andre Reynolds (CEO) |
| Authorized Official Contact | 7047177477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerment Quality Care Services, Llc 8535 Cliff Cameron Dr Ste 100 Charlotte NC 28269-5909 Ph: (704) 717-7477 | Empowerment Quality Care Services, Llc 8535 Cliff Cameron Dr Ste 100 Charlotte NC 28269-5909 Ph: (704) 717-7477 |
| NPI Number | 1437384302 |
|---|---|
| Provider Enumeration Date | 05/21/2009 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Medicare PECOS PAC ID | 5395144737 |
|---|---|
| Medicare Enrollment ID | O20210604000728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437384302 | NPI | - | NPPES |
| 8302830 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Secondary |
| Provider Name | Denise R Finck-rothman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629002555 PECOS PAC ID: 8921900358 Enrollment ID: I20040124000374 |
| Provider Name | Patricia A Krikorian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124302849 PECOS PAC ID: 5991066763 Enrollment ID: I20180220000592 |
| Provider Name | Andrietta Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043648140 PECOS PAC ID: 4385875673 Enrollment ID: I20200325002265 |
| Provider Name | Carshia Pollard Capraro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275835696 PECOS PAC ID: 4789051954 Enrollment ID: I20221031002289 |
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