EBENEZER MEDICAL GROUP INC
NPI 1487249645
Community/Behavioral Health in Hialeah, FL

Active since March 09, 2021
2300 W 84TH ST STE 304, HIALEAH, FL 33016(786) 666-0590(786) 666-0591 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ebenezer Medical Group Inc NPPES

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

EBENEZER MEDICAL GROUP INC (NPI 1487249645) is a healthcare organization registered as a community/behavioral health in Hialeah, Florida and active in the NPI registry since March 2021. The organization lists Leonel Tomas Santos Rodriguez, Owner, as its authorized official.

NPPES Registry Identity

NPI1487249645
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEBENEZER MEDICAL GROUP INC
Location Address2300 W 84TH ST STE 304Hialeah, FL 33016-5773
Mailing Address2300 W 84th St Ste 304Hialeah, FL 33016-5773 · (786) 666-0590
Fax(786) 666-0591
Organization SubpartNo
Authorized OfficialLeonel Tomas Santos RodriguezOwner · (786) 712-8252
Enumeration DateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
NPI 1487249645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2300 W 84TH ST STE 304, Hialeah, FL 33016

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 Medical Group Inc's NPI number?

The NPI number for Ebenezer Medical Group Inc is 1487249645. It was assigned to this organization in the NPPES registry on March 9, 2021.

Where is Ebenezer Medical Group Inc located?

Ebenezer Medical Group Inc is located at 2300 W 84th St Ste 304, Hialeah, FL 33016. The listed phone number is (786) 666-0590.

What is Ebenezer Medical Group Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Ebenezer Medical Group Inc was last updated on March 9, 2021. 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.