EBENEZER HEALTHCARE SERVICES
NPI 1285005645
In Home Supportive Care in Norcross, GA

Active since October 12, 2015
5380 PEACHTREE INDUSTRIAL BLVD, SUITE 247 AB, NORCROSS, GA 30071(470) 299-4564 Get Directions Write a Review

NPPES record last updated: October 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ebenezer Healthcare Services NPPES

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

EBENEZER HEALTHCARE SERVICES (NPI 1285005645) is a healthcare organization registered as an in home supportive care in Norcross, Georgia and active in the NPI registry since October 2015. The organization lists Myung S Song, Owner, as its authorized official.

NPPES Registry Identity

NPI1285005645
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameEBENEZER HEALTHCARE SERVICES
Location Address5380 PEACHTREE INDUSTRIAL BLVD, SUITE 247 ABNorcross, GA 30071-4713
Mailing Address5380 Peachtree Industrial Blvd Ste 247Norcross, GA 30071-1592 · (470) 299-4564
Organization SubpartNo
Authorized OfficialMyung S SongOwner · 47029945464
Enumeration DateOctober 12, 2015
NPI 1285005645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License Licensed in GA · 067-R-1183
Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

5380 PEACHTREE INDUSTRIAL BLVD, Norcross, GA 30071

Other Identifiers 1

Medicaid003160947AGA

Other Providers at the Same Location NPPES 4

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

Home Infusion
5380 PEACHTREE INDUSTRIAL BLVD, SUITE 247 A/B
NORCROSS, GA 30071
Pain Medicine (Pain Medicine)
5380 PEACHTREE INDUSTRIAL BLVD, STE 150
NORCROSS, GA 30071
Clinic/Center (Primary Care)
5380 PEACHTREE INDUSTRIAL BLVD, STE 140
NORCROSS, GA 30071
Pediatrics
5380 PEACHTREE INDUSTRIAL BLVD, 140
NORCROSS, GA 30071

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 Healthcare Services's NPI number?

The NPI number for Ebenezer Healthcare Services is 1285005645. It was assigned to this organization in the NPPES registry on October 12, 2015.

Where is Ebenezer Healthcare Services located?

Ebenezer Healthcare Services is located at 5380 Peachtree Industrial Blvd Suite 247 Ab, Norcross, GA 30071. The listed phone number is (470) 299-4564.

What is Ebenezer Healthcare Services's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Ebenezer Healthcare Services was last updated on October 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.