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EBENEZER SOCIETY LLC NPI 1477968550


NPI Information

NPI: 1477968550
Provider Name: EBENEZER SOCIETY, LLC

Doing Business As: EBENEZER HOME CARE

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
25565 FAIRVIEW AVE
WYOMING, MN
ZIP 55092
Phone: (651) 982-6228
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EBENEZER SOCIETY, LLC is a home health in Wyoming, MN. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. EBENEZER SOCIETY, LLC NPI is 1477968550. The provider is registered as an organization entity type.
The provider Is Doing Business As Ebenezer Home Care.

The provider's business location address is:

25565 FAIRVIEW AVE
WYOMING, MN
ZIP 55092-053
Phone: (651) 982-6228

The provider's authorized official is Jill Nokleby Kaiser .
The authorized official title is Director Of Housing Development and has the following contact phone number (612) 874-3431.

The enumeration date for this NPI number is 6/26/2014 and was last updated on 6/26/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health23170MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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