EBENEZER 24-HR RESIDENTIAL SERVICE LLC
NPI 1912850488
Nursing Care in Milwaukie, OR

Active since February 16, 2026
4711 SE LAKE RD, MILWAUKIE, OR 97222(971) 678-2102 Get Directions Write a Review

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

About Ebenezer 24-hr Residential Service Llc NPPES

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

EBENEZER 24-HR RESIDENTIAL SERVICE LLC (NPI 1912850488) is a healthcare organization registered as a nursing care in Milwaukie, Oregon and active in the NPI registry since February 2026. The organization lists Tiya Wakjira, Owner, as its authorized official.

NPPES Registry Identity

NPI1912850488
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameEBENEZER 24-HR RESIDENTIAL SERVICE LLC
Location Address4711 SE LAKE RDMilwaukie, OR 97222-4745
Mailing Address4711 Se Lake RdMilwaukie, OR 97222-4745 · (971) 678-2102
Organization SubpartNo
Authorized OfficialTiya WakjiraOwner · (971) 678-2102
Enumeration DateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
NPI 1912850488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
4711 SE LAKE RD, Milwaukie, OR 97222

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 24-Hr Residential Service LLC's NPI number?

The NPI number for Ebenezer 24-Hr Residential Service LLC is 1912850488. It was assigned to this organization in the NPPES registry on February 16, 2026.

Where is Ebenezer 24-Hr Residential Service LLC located?

Ebenezer 24-Hr Residential Service LLC is located at 4711 SE Lake Rd, Milwaukie, OR 97222. The listed phone number is (971) 678-2102.

What is Ebenezer 24-Hr Residential Service LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Ebenezer 24-Hr Residential Service LLC was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.