Healthcare Provider Details

I. General information

NPI: 1619899325
Provider Name (Legal Business Name): EMPOWER HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 N WOODLAWN ST STE 350
WICHITA KS
67208-1881
US

IV. Provider business mailing address

9111 E DOUGLAS AVE STE 145
WICHITA KS
67207-2202
US

V. Phone/Fax

Practice location:
  • Phone: 316-369-4586
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ZION FEWIN
Title or Position: CEO
Credential: LMSW
Phone: 316-369-4586