EBENEZER HOME CARE
NPI 1356636344
Home Health in Minneapolis, MN

Active since June 17, 2011
2625 PARK AVE, MINNEAPOLIS, MN 55407(612) 871-4574(612) 872-7368 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebenezer Home Care NPPES

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

EBENEZER HOME CARE (NPI 1356636344) is a healthcare organization registered as a home health in Minneapolis, Minnesota and active in the NPI registry since June 2011. The organization lists Stephan Grygar, Cfo, as its authorized official.

NPPES Registry Identity

NPI1356636344
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameEBENEZER HOME CARE
Location Address2625 PARK AVEMinneapolis, MN 55407-1016
Mailing Address2625 Park AveMinneapolis, MN 55407-1016 · (612) 871-4574 · Fax (612) 872-7368
Fax(612) 872-7368
Organization SubpartYesParent: Ebenezer Society
Authorized OfficialStephan GrygarCfo · (612) 874-3477
Enumeration DateJune 17, 2011
NPI 1356636344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in MN · 27773
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
2625 PARK AVE, Minneapolis, MN 55407

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's NPI number?

The NPI number for Ebenezer Home Care is 1356636344. It was assigned to this organization in the NPPES registry on June 17, 2011.

Where is Ebenezer Home Care located?

Ebenezer Home Care is located at 2625 Park Ave, Minneapolis, MN 55407. The listed phone number is (612) 871-4574.

What is Ebenezer Home Care's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Ebenezer Home Care was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.