Provider Demographics
NPI:1003122508
Name:EMPOWERMENT HOMES INC
Entity Type:Organization
Organization Name:EMPOWERMENT HOMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:KIRBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-571-0845
Mailing Address - Street 1:595 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-2174
Mailing Address - Country:US
Mailing Address - Phone:234-571-0845
Mailing Address - Fax:234-542-1035
Practice Address - Street 1:595 EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-2174
Practice Address - Country:US
Practice Address - Phone:234-571-0845
Practice Address - Fax:234-542-1035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3157266Medicaid
OH775375OtherOMTB AMBULETTE