Provider Demographics
NPI:1154109304
Name:HEALTH EMPOWERMENT NETWORK OF MARYLAND, INC.
Entity type:Organization
Organization Name:HEALTH EMPOWERMENT NETWORK OF MARYLAND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:W
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-435-5038
Mailing Address - Street 1:12138 CENTRAL AVENUE, SUITE 112
Mailing Address - Street 2:
Mailing Address - City:MITCHVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20621-1910
Mailing Address - Country:US
Mailing Address - Phone:240-435-5038
Mailing Address - Fax:
Practice Address - Street 1:513 68TH PLACE
Practice Address - Street 2:
Practice Address - City:SEAT PLEASANT
Practice Address - State:MD
Practice Address - Zip Code:20743
Practice Address - Country:US
Practice Address - Phone:240-435-5038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty