Provider Demographics
NPI:1225911431
Name:EMPOWERCARE WELLNESS LLC
Entity type:Organization
Organization Name:EMPOWERCARE WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TOMEEKA
Authorized Official - Middle Name:DESHAWNN
Authorized Official - Last Name:GRIZZELL
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:760-999-0048
Mailing Address - Street 1:301 N INDIAN CYN DR STE 103
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-5672
Mailing Address - Country:US
Mailing Address - Phone:760-999-0048
Mailing Address - Fax:
Practice Address - Street 1:1986 LAWRENCE ST.
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262
Practice Address - Country:US
Practice Address - Phone:760-999-0048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty