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EBENEZER ETTA HEALTHCARE SERVICES LLC
NPI 1629720750
Home Health in Lanham, MD

Active since January 20, 2022
4200 FORBES BLVD STE 1094200, LANHAM, MD 20706(240) 353-6067(667) 290-6344 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ebenezer Etta Healthcare Services Llc NPPES

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

EBENEZER ETTA HEALTHCARE SERVICES LLC (NPI 1629720750) is a healthcare organization registered as a home health in Lanham, Maryland and active in the NPI registry since January 2022. The organization lists Estella Etta, Owner, as its authorized official.

NPPES Registry Identity

NPI1629720750
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameEBENEZER ETTA HEALTHCARE SERVICES LLC
Location Address4200 FORBES BLVD STE 1094200Lanham, MD 20706-4342
Mailing Address4200 Forbes Blvd Ste 1094200Lanham, MD 20706-4342 · (240) 260-8882 · Fax (667) 290-6344
Phone(240) 353-6067
Fax(667) 290-6344
Organization SubpartNo
Authorized OfficialEstella EttaOwner · (240) 260-8882
Enumeration DateJanuary 20, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1629720750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
4200 FORBES BLVD STE 1094200, Lanham, MD 20706
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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 Etta Healthcare Services LLC's NPI number?

The NPI number for Ebenezer Etta Healthcare Services LLC is 1629720750. It was assigned to this organization in the NPPES registry on January 20, 2022.

Where is Ebenezer Etta Healthcare Services LLC located?

Ebenezer Etta Healthcare Services LLC is located at 4200 Forbes Blvd Ste 1094200, Lanham, MD 20706. The listed phone number is (240) 353-6067.

What is Ebenezer Etta Healthcare Services LLC'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 Etta Healthcare Services LLC was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.