1. Home
  2. Directory
  3. NPI Profile

EBENEZER HOME CARE LLC
NPI 1104074228
Homemaker in Tunicia, MS

Active since September 03, 2008
1189 MAIN ST, TUNICIA, MS 38676(662) 363-0102(662) 363-0103 Get Directions Write a Review

NPPES record last updated: September 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ebenezer Home Care Llc NPPES

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

EBENEZER HOME CARE LLC (NPI 1104074228) is a healthcare organization registered as a homemaker in Tunicia, Mississippi and active in the NPI registry since September 2008. The organization lists Rodney Hibbler, Administrator/ceo, as its authorized official.

NPPES Registry Identity

NPI1104074228
Entity TypeOrganization
Primary Taxonomy376J00000X
Legal Business NameEBENEZER HOME CARE LLC
Location Address1189 MAIN STTunicia, MS 38676
Mailing Address1189 Main StTunicia, MS 38676 · (662) 541-5009 · Fax (662) 363-0103
Phone(662) 363-0102
Fax(662) 363-0103
Organization SubpartNo
Authorized OfficialRodney HibblerAdministrator/ceo · (662) 541-5009
Enumeration DateSeptember 3, 2008
Last NPPES UpdateSeptember 22, 2008
✔ NPI 1104074228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
1189 MAIN ST, Tunicia, MS 38676
Open in Google Maps ↗

Other Identifiers 1

Medicaid07988034MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Home Care LLC's NPI number?

The NPI number for Ebenezer Home Care LLC is 1104074228. It was assigned to this organization in the NPPES registry on September 3, 2008.

Where is Ebenezer Home Care LLC located?

Ebenezer Home Care LLC is located at 1189 Main St, Tunicia, MS 38676. The listed phone number is (662) 363-0102.

What is Ebenezer Home Care LLC's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Ebenezer Home Care LLC was last updated on September 22, 2008. 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.