EBENEZER HOME CARE - NPI 1477968550 - Home Health in Wyoming, MN

Q: What is Ebenezer Society, LLC's NPI number?

The NPI number for Ebenezer Society, LLC is 1477968550. It was assigned to this organization in the NPPES registry on June 26, 2014. The provider is doing business as Ebenezer Home Care.

Q: What is Ebenezer Society, LLC's specialty?

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

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About Ebenezer Home Care NPPES

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

EBENEZER HOME CARE (NPI 1477968550) is a healthcare organization registered as a home health in Wyoming, Minnesota and active in the NPI registry since June 2014. The organization lists Jill Nokleby Kaiser, Director Of Housing Development, as its authorized official.

NPPES Registry Identity

NPI1477968550

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameEBENEZER SOCIETY, LLC

Location Address25565 FAIRVIEW AVEWyoming, MN 55092-8053

Mailing Address25565 Fairview AveWyoming, MN 55092-8053 · (651) 982-6228

Phone(651) 982-6228

Organization SubpartNo

Authorized OfficialJill Nokleby KaiserDirector Of Housing Development · (612) 874-3431

Enumeration DateJune 26, 2014

✔ NPI 1477968550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in MN · 23170

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.

25565 FAIRVIEW AVE, Wyoming, MN 55092

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Other Names 1

Doing Business AsEbenezer Home Care

Other Providers at the Same Location NPPES 5

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

EBENEZER LAKES ASSISTED LIVING

Assisted Living Facility