EBISE BAYISA
NPI 1538745047
Respite Care - Respite Care, Physical Disabilities, Child in Blaine, MN

Q: What is Ebise Bayisa's NPI number?

The NPI number for Ebise Bayisa is 1538745047. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Q: What is Ebise Bayisa's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Physical Disabilities, Child, with taxonomy code 385HR2065X.

Q: When was this NPI record last updated?

The NPPES record for Ebise Bayisa was last updated on March 23, 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.

Active since March 23, 2021

12457 MIDWAY CIR NE, BLAINE, MN 55449(612) 423-5057 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ebise Bayisa NPPES

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

EBISE BAYISA (NPI 1538745047) is an individual respite care, physical disabilities, child provider in Blaine, Minnesota and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1538745047

Entity TypeIndividualFemale

Primary Taxonomy385HR2065X

Provider Legal NameEBISE BAYISA

Location Address12457 MIDWAY CIR NEBlaine, MN 55449-6228

Mailing Address12457 Midway Cir NeBlaine, MN 55449-6228

Phone(612) 423-5057

Sole ProprietorYes

Enumeration DateMarch 23, 2021

NPPES CertifiedMarch 23, 2021

✔ NPI 1538745047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite Care · Respite Care, Physical Disabilities, ChildRespite Care Facility

Taxonomy Code385HR2065X

Definition

A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.

12457 MIDWAY CIR NE, Blaine, MN 55449

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Other Identifiers 1

Medicaid612653119MN

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 Ebise Bayisa's NPI number?

The NPI number for Ebise Bayisa is 1538745047. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Ebise Bayisa located?

Ebise Bayisa practices at 12457 Midway Cir NE, Blaine, MN 55449. The listed phone number is (612) 423-5057.

What is Ebise Bayisa's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Physical Disabilities, Child, with taxonomy code 385HR2065X.

When was this NPI record last updated?

The NPPES record for Ebise Bayisa was last updated on March 23, 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.