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EMPOWERED RECOVERY KANSAS CITY LLC
NPI 1124997978
Substance Abuse Rehabilitation Facility in Kansas City, MO

Active since October 31, 2025CLIA 11D2242348 · Waiver
4177 BROADWAY, KANSAS CITY, MO 64111(470) 295-3152 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Empowered Recovery Kansas City Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMPOWERED RECOVERY KANSAS CITY LLC (NPI 1124997978) is a healthcare organization registered as a substance abuse rehabilitation facility in Kansas City, Missouri and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Richardson Forrest, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124997978
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEMPOWERED RECOVERY KANSAS CITY LLC
Location Address4177 BROADWAYKansas City, MO 64111-2620
Mailing Address4177 BroadwayKansas City, MO 64111-2620
Phone(470) 295-3152
Organization SubpartNo
Authorized OfficialRichardson ForrestCeo · (470) 295-3152
Enumeration DateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1124997978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
4177 BROADWAY, Kansas City, MO 64111
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2242348

Empowered Recovery Center · Marietta, GA
Active · expires Nov 7, 2027
CLIA Number11D2242348
Laboratory TypeSubstance Abuse Treat Ctr
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorForrest Richardson
Laboratory Phone(470) 295-3152
Laboratory LocationEmpowered Recovery Center3651 Canton Road, Marietta, GA 30066
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Empowered Recovery Kansas City LLC's NPI number?

The NPI number for Empowered Recovery Kansas City LLC is 1124997978. It was assigned to this organization in the NPPES registry on October 31, 2025.

Where is Empowered Recovery Kansas City LLC located?

Empowered Recovery Kansas City LLC is located at 4177 Broadway, Kansas City, MO 64111. The listed phone number is (470) 295-3152.

What is Empowered Recovery Kansas City LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Empowered Recovery Kansas City LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2242348) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Empowered Recovery Kansas City LLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.