Healthcare Provider Details

I. General information

NPI: 1790648467
Provider Name (Legal Business Name): EMPOWERCARE SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6161 BUSCH BLVD STE 114
COLUMBUS OH
43229-2562
US

IV. Provider business mailing address

6161 BUSCH BLVD STE 114
COLUMBUS OH
43229-2562
US

V. Phone/Fax

Practice location:
  • Phone: 614-591-3091
  • Fax: 614-591-3092
Mailing address:
  • Phone: 614-591-3091
  • Fax: 614-591-3092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: HODAN ELMI
Title or Position: PRESIDENT
Credential:
Phone: 614-591-3091