MEDICARE: EMPOWERING PACIFIC ISLAND COMMUNITIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	253Z00000X	In Home Supportive Care Agency
3	311ZA0620X	Adult Care Home Facility
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1972447639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERING PACIFIC ISLAND COMMUNITIES

Provider Business Mailing Address
First Line	:	5825 FAATAMALII CENTER
Second Line	:	SUITE 2B
City	:	PAGO PAGO
State	:	AS
Zip	:	96799-0000
Country	:	US
Telephone Number	:	684-688-3742
Fax Number	:

Provider Business Practice Location Address
First Line	:	6776 VAILOA ROAD
Second Line	:
City	:	PAGO PAGO
State	:	AS
Zip	:	96799-0000
Country	:	US
Telephone Number	:	684-688-3742
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KATHRYN MICHELLE MCCUTCHAN
Credential	:
Telephone Number	:	684-688-3742

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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