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EBENEZER ADULT DAY PROGRAM
NPI 1174508873
Clinic/Center - Adult Day Care in Minneapolis, MN

Active since December 14, 2005
2545 PORTLAND AVE, MINNEAPOLIS, MN 55404(612) 879-2262(612) 879-2316 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ebenezer Adult Day Program NPPES

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

EBENEZER ADULT DAY PROGRAM (NPI 1174508873) is a healthcare organization registered as an adult day care in Minneapolis, Minnesota and active in the NPI registry since December 2005. The organization lists Mark Thomas, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1174508873
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameEBENEZER ADULT DAY PROGRAM
Location Address2545 PORTLAND AVEMinneapolis, MN 55404-4406
Mailing Address2545 Portland AveMinneapolis, MN 55404-4406 · (612) 879-2262 · Fax (612) 879-2316
Phone(612) 879-2262
Fax(612) 879-2316
Organization SubpartNo
Authorized OfficialMark ThomasPresident/ceo · (612) 874-3460
Enumeration DateDecember 14, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174508873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License✔ Licensed in MN · 800713-2-ADC
2545 PORTLAND AVE, Minneapolis, MN 55404
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Other Providers at the Same Location NPPES

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

EBENEZER SOCIETY
Skilled Nursing Facility
2545 PORTLAND AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 879-2262

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 Adult Day Program's NPI number?

The NPI number for Ebenezer Adult Day Program is 1174508873. It was assigned to this organization in the NPPES registry on December 14, 2005.

Where is Ebenezer Adult Day Program located?

Ebenezer Adult Day Program is located at 2545 Portland Ave, Minneapolis, MN 55404. The listed phone number is (612) 879-2262.

What is Ebenezer Adult Day Program's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Ebenezer Adult Day Program was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.