Healthcare Provider Details

I. General information

NPI: 1689540403
Provider Name (Legal Business Name): EMPOWER STARK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7692 PEACHMONT AVE NW
NORTH CANTON OH
44720-5740
US

IV. Provider business mailing address

7692 PEACHMONT AVE NW
NORTH CANTON OH
44720-5740
US

V. Phone/Fax

Practice location:
  • Phone: 330-323-7892
  • Fax:
Mailing address:
  • Phone: 914-586-2444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: RAZAN HAMDAN
Title or Position: OWNER, DOO
Credential:
Phone: 914-586-2444