OrganizationActive
Empower Living Residence LLC
NPI 1326896820 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Randolph, MA
Provider details
- NPI number
- 1326896820
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michele Jean-Baptiste, Chief Executive Officer(857) 236-2242
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
38 Connolly St
Randolph, MA 02368-1511
Phone: (857) 236-2242
Approximate (ZIP-level) locationGet directions
Mailing address
38 Connolly St
Randolph, MA 02368-1511
Other names (DBA / former)
- Doing business as
- Elr
Registry dates
- Enumerated
- 2024-05-09
- Last updated
- 2024-05-09
- Certified
- 2024-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.