Ebenezer Adult Day Program

LBN: Ebenezer Adult Day Program
Ebenezer Adult Day Program is an health care organization with primary practice located at 2545 Portland Ave , Minneapolis MN 55404-4406. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Ebenezer Adult Day Program can be contacted via phone (612) 879-2262, or through Thomas, Mark via phone (612) 874-3460.

Contact Information

Primary practice address
2545 Portland Ave Minneapolis MN 55404-4406
Phone: (612) 879-2262
Fax: (612) 879-2316
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Mark
Phone: (612) 874-3460

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 800713-2-ADC Minnesota

Profile Details

NPI number 1174508873
LBN Legal business name Ebenezer Adult Day Program
DBA Doing business as
Authorized official Thomas, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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