1. Home
  2. Directory
  3. Arizona
  4. Queen Creek
  5. Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

EBENEZER HOUSE D LLC
NPI 1417639980
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Queen Creek, AZ

Active since August 03, 2023
2846 W MILA WAY, QUEEN CREEK, AZ 85144(207) 239-0971 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ebenezer House D Llc NPPES

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

EBENEZER HOUSE D LLC (NPI 1417639980) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Queen Creek, Arizona and active in the NPI registry since August 2023. The organization lists Claudine Kayitesi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417639980
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameEBENEZER HOUSE D LLC
Location Address2846 W MILA WAYQueen Creek, AZ 85144-6700
Mailing Address2846 W Mila WayQueen Creek, AZ 85144-6700 · (207) 239-0971
Phone(207) 239-0971
Organization SubpartYes
Authorized OfficialClaudine KayitesiCeo · (207) 239-0971
Enumeration DateAugust 3, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1417639980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
2846 W MILA WAY, Queen Creek, AZ 85144
Open in Google Maps ↗

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 House D LLC's NPI number?

The NPI number for Ebenezer House D LLC is 1417639980. It was assigned to this organization in the NPPES registry on August 3, 2023.

Where is Ebenezer House D LLC located?

Ebenezer House D LLC is located at 2846 W Mila Way, Queen Creek, AZ 85144. The listed phone number is (207) 239-0971.

What is Ebenezer House D LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Ebenezer House D LLC was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.