Active NPI
Empower Path Support LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Elkton, MD
National Provider Identifier
1174406441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- EMPOWER PATH SUPPORT LLC
- Practice address
- 107 Walnut LN
Elkton, MD 21921-5001 - Phone
- (443) 355-7517
- NPI assigned
- Jul 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adebambo C Ogunnupe, LPN
- Title
- Ceo
- Phone
- (202) 486-1744
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
107 Walnut LN
Elkton, MD 21921-5001
Mailing address
9324 Mulligan Way
Delmar, MD 21875-2668
Phone (202) 276-9353
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753920000000",
"number": "1174406441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9324 MULLIGAN WAY",
"city": "DELMAR",
"state": "MD",
"postal_code": "218752668",
"telephone_number": "202-276-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 WALNUT LN",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215001",
"telephone_number": "443-355-7517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWER PATH SUPPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-25",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A",
"authorized_official_last_name": "OGUNNUPE",
"authorized_official_first_name": "ADEBAMBO",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "202-486-1744",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.