Provider Type Icon

EBENEZER MANAGEMENT SERVICES NPI 1881005775


NPI Information

NPI: 1881005775
Provider Name: EBENEZER MANAGEMENT SERVICES

Doing Business As: EBENEZER HOME CARE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
875 WAYZATA BLVD W
WAYZATA, MN
ZIP 55391
Phone: (952) 473-6655
Get Directions

EBENEZER MANAGEMENT SERVICES is an assisted living facility in Wayzata, MN. The provider is 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. EBENEZER MANAGEMENT SERVICES NPI is 1881005775. 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:

875 WAYZATA BLVD W
WAYZATA, MN
ZIP 55391-418
Phone: (952) 473-6655
Fax: (952) 473-6677

The provider's authorized official is Jill Nokleby .
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 5/13/2014 and was last updated on 5/13/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility28636MINNESOTAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.