EBENEZER REST HOME LLC
NPI 1114551116
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Triangle, VA

Q: What is Ebenezer Rest Home LLC's NPI number?

The NPI number for Ebenezer Rest Home LLC is 1114551116. It was assigned to this organization in the NPPES registry on February 27, 2020.

Q: What is Ebenezer Rest Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Active since February 27, 2020

18909 RED OAK LN, TRIANGLE, VA 22172(812) 447-2707 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ebenezer Rest Home Llc NPPES

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

EBENEZER REST HOME LLC (NPI 1114551116) is a healthcare organization registered as an assisted living, behavioral disturbances in Triangle, Virginia and active in the NPI registry since February 2020. The organization lists Jane F Namulondo, Owner, as its authorized official.

NPPES Registry Identity

NPI1114551116

Entity TypeOrganization

Primary Taxonomy3104A0630X

Legal Business NameEBENEZER REST HOME LLC

Location Address18909 RED OAK LNTriangle, VA 22172-2122

Mailing Address18909 Red Oak LnTriangle, VA 22172-2122 · (812) 447-2707

Phone(812) 447-2707

Organization SubpartNo

Authorized OfficialJane F NamulondoOwner · (781) 244-7270

Enumeration DateFebruary 27, 2020

✔ NPI 1114551116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

18909 RED OAK LN, Triangle, VA 22172

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Other Identifiers 1

Other02272020VA · Assisted Living Facility

Other Providers at the Same Location NPPES

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

ARM FAITHFUL HOME LLC

In Home Supportive Care

18909 RED OAK LN
TRIANGLE, VA 22172

Prince William County (571) 466-8793

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 Rest Home LLC's NPI number?

The NPI number for Ebenezer Rest Home LLC is 1114551116. It was assigned to this organization in the NPPES registry on February 27, 2020.

Where is Ebenezer Rest Home LLC located?

Ebenezer Rest Home LLC is located at 18909 Red Oak Ln, Triangle, VA 22172. The listed phone number is (812) 447-2707.

What is Ebenezer Rest Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Ebenezer Rest Home LLC was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.