EBENEZER HEALTHCARE SERVICES, INC.
NPI 1669874673
In Home Supportive Care in Norcross, GA

Q: What is Ebenezer Healthcare Services, Inc.'s NPI number?

The NPI number for Ebenezer Healthcare Services, Inc. is 1669874673. It was assigned to this organization in the NPPES registry on September 22, 2014.

Q: What is Ebenezer Healthcare Services, Inc.'s specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since September 22, 2014

4405 INTERNATIONAL BLVD, SUITE B101, NORCROSS, GA 30093(770) 806-0009(770) 806-0100 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ebenezer Healthcare Services, Inc. NPPES

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

EBENEZER HEALTHCARE SERVICES, INC. (NPI 1669874673) is a healthcare organization registered as an in home supportive care in Norcross, Georgia and active in the NPI registry since September 2014. The organization lists Myung Sook Song, Owner, as its authorized official.

NPPES Registry Identity

NPI1669874673

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameEBENEZER HEALTHCARE SERVICES, INC.

Location Address4405 INTERNATIONAL BLVD, SUITE B101Norcross, GA 30093-3019

Mailing Address4405 International Blvd, Suite B101Norcross, GA 30093-3019 · (770) 806-0009 · Fax (770) 806-0100

Phone(770) 806-0009

Fax(770) 806-0100

Organization SubpartNo

Authorized OfficialMyung Sook SongOwner · (404) 483-6493

Enumeration DateSeptember 22, 2014

Last NPPES UpdateJune 24, 2016

✔ NPI 1669874673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

License✔ Licensed in GA · 067-R-1183

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X · License 067-R-1183 (GA)

4405 INTERNATIONAL BLVD, Norcross, GA 30093

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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 Healthcare Services, Inc.'s NPI number?

The NPI number for Ebenezer Healthcare Services, Inc. is 1669874673. It was assigned to this organization in the NPPES registry on September 22, 2014.

Where is Ebenezer Healthcare Services, Inc. located?

Ebenezer Healthcare Services, Inc. is located at 4405 International Blvd Suite B101, Norcross, GA 30093. The listed phone number is (770) 806-0009.

What is Ebenezer Healthcare Services, Inc.'s specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Ebenezer Healthcare Services, Inc. was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.