Provider Demographics
NPI:1275423659
Name:EMPOWER PATH HOMES
Entity type:Organization
Organization Name:EMPOWER PATH HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ESTELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NCHUMULUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-690-6302
Mailing Address - Street 1:455 STANLEY AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45226-1779
Mailing Address - Country:US
Mailing Address - Phone:267-694-2802
Mailing Address - Fax:
Practice Address - Street 1:868 VIRGINIABRADFORD CT
Practice Address - Street 2:
Practice Address - City:ELSMERE
Practice Address - State:KY
Practice Address - Zip Code:41018-2396
Practice Address - Country:US
Practice Address - Phone:859-904-9155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home