EBENEZER HOUSE 1LLC
NPI 1740910348
Community/Behavioral Health in Queen Creek, AZ

Active since June 15, 2022
35168 N MAGNETTE WAY, QUEEN CREEK, AZ 85142(407) 236-6552 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ebenezer House 1llc NPPES

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

EBENEZER HOUSE 1LLC (NPI 1740910348), doing business as Ebenezer House, is a healthcare organization registered as a community/behavioral health in Queen Creek, Arizona and active in the NPI registry since June 2022. The organization lists Ossie Torgrimson, Chief Officer Finanical, as its authorized official.

NPPES Registry Identity

NPI1740910348
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEBENEZER HOUSE 1LLC
Location Address35168 N MAGNETTE WAYQueen Creek, AZ 85142-3916
Mailing Address35168 N Magnette WayQueen Creek, AZ 85142-3916 · (407) 236-6552
Organization SubpartNo
Authorized OfficialOssie TorgrimsonChief Officer Finanical · (407) 236-6552
Enumeration DateJune 15, 2022
NPPES CertifiedJune 15, 2022
NPI 1740910348 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.
35168 N MAGNETTE WAY, Queen Creek, AZ 85142

Other Names 1

Doing Business AsEbenezer House

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Mental Illness
35168 N MAGNETTE WAY
QUEEN CREEK, AZ 85142

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 House 1llc's NPI number?

The NPI number for Ebenezer House 1llc is 1740910348. It was assigned to this organization in the NPPES registry on June 15, 2022. The provider is doing business as Ebenezer House.

Where is Ebenezer House 1llc located?

Ebenezer House 1llc is located at 35168 N Magnette Way, Queen Creek, AZ 85142. The listed phone number is (407) 236-6552.

What is Ebenezer House 1llc'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 House 1llc was last updated on June 15, 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.