EBENEZER FAMILY HOME, INC
NPI 1104071778
Assisted Living Facility in Hialeah, FL

Active since November 24, 2008
6690 W 14TH AVE, HIALEAH, FL 33012(305) 857-9425(305) 223-2371 Get Directions Write a Review

NPPES record last updated: January 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ebenezer Family Home, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBENEZER FAMILY HOME, INC (NPI 1104071778) is a healthcare organization registered as an assisted living facility in Hialeah, Florida and active in the NPI registry since November 2008. The organization lists Erich Capestany, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104071778
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEBENEZER FAMILY HOME, INC
Location Address6690 W 14TH AVEHialeah, FL 33012-6239
Mailing Address6690 W 14th AveHialeah, FL 33012-6239 · (305) 857-9425 · Fax (305) 223-2371
Fax(305) 223-2371
Organization SubpartNo
Authorized OfficialErich CapestanyAdministrator · (786) 376-6767
Enumeration DateNovember 24, 2008
Last NPPES UpdateJanuary 8, 2009
NPI 1104071778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in FL · AL8519
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
6690 W 14TH AVE, Hialeah, FL 33012

Other Identifiers 2

Medicaid000494700FL
Medicaid000208100FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility (Assisted Living, Mental Illness)
6690 W 14TH AVE
HIALEAH, FL 33012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebenezer Family Home, Inc's NPI number?

The NPI number for Ebenezer Family Home, Inc is 1104071778. It was assigned to this organization in the NPPES registry on November 24, 2008.

Where is Ebenezer Family Home, Inc located?

Ebenezer Family Home, Inc is located at 6690 W 14th Ave, Hialeah, FL 33012. The listed phone number is (305) 857-9425.

What is Ebenezer Family Home, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Ebenezer Family Home, Inc was last updated on January 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.