EBENEZER HOME CARE
NPI 1881005775
Assisted Living Facility in Wayzata, MN

Q: What is Ebenezer Management Services's NPI number?

The NPI number for Ebenezer Management Services is 1881005775. It was assigned to this organization in the NPPES registry on May 13, 2014. The provider is doing business as Ebenezer Home Care.

Q: What is Ebenezer Management Services's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since May 13, 2014

875 WAYZATA BLVD W, WAYZATA, MN 55391(952) 473-6655(952) 473-6677 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ebenezer Home Care NPPES

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

EBENEZER HOME CARE (NPI 1881005775) is a healthcare organization registered as an assisted living facility in Wayzata, Minnesota and active in the NPI registry since May 2014. The organization lists Jill Nokleby, Director Of Housing Development, as its authorized official.

NPPES Registry Identity

NPI1881005775

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEBENEZER MANAGEMENT SERVICES

Location Address875 WAYZATA BLVD WWayzata, MN 55391-9418

Mailing Address875 Wayzata Blvd WWayzata, MN 55391-9418 · (952) 473-6655 · Fax (952) 473-6677

Phone(952) 473-6655

Fax(952) 473-6677

Organization SubpartNo

Authorized OfficialJill NoklebyDirector Of Housing Development · (612) 874-3431

Enumeration DateMay 13, 2014

✔ NPI 1881005775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MN · 28636

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

875 WAYZATA BLVD W, Wayzata, MN 55391

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Other Names 1

Doing Business AsEbenezer Home Care

Other Providers at the Same Location NPPES

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

AEGIS GROUP PRACTICE LLC

Physical Therapist

875 WAYZATA BLVD W
WAYZATA, MN 55391

Hennepin County (479) 201-6091

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 Management Services's NPI number?

The NPI number for Ebenezer Management Services is 1881005775. It was assigned to this organization in the NPPES registry on May 13, 2014. The provider is doing business as Ebenezer Home Care.

Where is Ebenezer Management Services located?

Ebenezer Management Services is located at 875 Wayzata Blvd W, Wayzata, MN 55391. The listed phone number is (952) 473-6655.

What is Ebenezer Management Services's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Ebenezer Management Services was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.