Organization Active NPI

Empower Village LLC

  • Community/Behavioral Health Agency
  • Long Branch, NJ
National Provider Identifier
1861300683
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMPOWER VILLAGE LLC
Practice address
713 Greens Ave Apt 4
Long Branch, NJ 07740-4924
Phone
(908) 902-1824
NPI assigned
Sep 1, 2026
Last updated
Sep 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel Paul Kiningham
Title
Ceo
Phone
(908) 902-1824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

713 Greens Ave Apt 4
Long Branch, NJ 07740-4924

Mailing address

713 Greens Ave Apt 4
Long Branch, NJ 07740-4924
Phone (908) 902-1824

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1861300683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 GREENS AVE APT 4",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077404924",
            "telephone_number": "908-902-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 GREENS AVE APT 4",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077404924",
            "telephone_number": "908-902-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "KININGHAM",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-902-1824"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.