Healthcare Provider Details

I. General information

NPI: 1619848496
Provider Name (Legal Business Name): EMPOWERING MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37318 VERBENA CT
PALMDALE CA
93551-6198
US

IV. Provider business mailing address

37318 VERBENA CT
PALMDALE CA
93551-6198
US

V. Phone/Fax

Practice location:
  • Phone: 661-289-3210
  • Fax: 818-975-5093
Mailing address:
  • Phone: 661-289-3210
  • Fax: 818-975-5093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: TRACEY TINDLE
Title or Position: CEO/ ADMINISTRATOR
Credential: ADMINISTRATOR /RBT
Phone: 661-305-4744