Provider Demographics
NPI:1932994258
Name:IEMPOWER 3CS2 EMPOWERMENT, INC.
Entity type:Organization
Organization Name:IEMPOWER 3CS2 EMPOWERMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:LATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOULES
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:888-322-8783
Mailing Address - Street 1:PO BOX 2006
Mailing Address - Street 2:
Mailing Address - City:COUNTRY CLUB HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60478-8106
Mailing Address - Country:US
Mailing Address - Phone:773-329-3268
Mailing Address - Fax:888-322-8783
Practice Address - Street 1:3855 W OGDEN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623-2459
Practice Address - Country:US
Practice Address - Phone:773-329-3268
Practice Address - Fax:888-322-8783
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:00000
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251V00000XAgenciesVoluntary or Charitable
No332U00000XSuppliersHome Delivered Meals