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EBENEZER GROUP HOME
NPI 1699408443
In Home Supportive Care in Fargo, ND

Active since July 07, 2022
1781 35TH ST S, FARGO, ND 58103(701) 730-7944 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ebenezer Group Home NPPES

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

EBENEZER GROUP HOME (NPI 1699408443) is a healthcare organization registered as an in home supportive care in Fargo, North Dakota and active in the NPI registry since July 2022. The organization lists Wilton B Travers, Rn, as its authorized official.

NPPES Registry Identity

NPI1699408443
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameEBENEZER GROUP HOME
Location Address1781 35TH ST SFargo, ND 58103-4875
Mailing Address1781 35th St SFargo, ND 58103-4875 · (701) 730-7944
Phone(701) 730-7944
Organization SubpartNo
Authorized OfficialWilton B TraversRn · (701) 730-7944
Enumeration DateJuly 7, 2022
NPPES CertifiedJuly 7, 2022
✔ NPI 1699408443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
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.
1781 35TH ST S, Fargo, ND 58103
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Other Identifiers 1

Medicaid0005876569ND

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 Group Home's NPI number?

The NPI number for Ebenezer Group Home is 1699408443. It was assigned to this organization in the NPPES registry on July 7, 2022.

Where is Ebenezer Group Home located?

Ebenezer Group Home is located at 1781 35th St S, Fargo, ND 58103. The listed phone number is (701) 730-7944.

What is Ebenezer Group Home'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 Group Home was last updated on July 7, 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.