Ebenezer Care Center

LBN: Ebenezer Society
Ebenezer Care Center 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 Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ebenezer Society 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
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 245587 Minnesota

Profile Details

NPI number 1184622870
LBN Legal business name Ebenezer Society
DBA Doing business as Ebenezer Care Center
Authorized official Thomas, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Sep 13th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184622870 NPPES
Minnesota MEDICAID 810542100
Minnesota Other NA0018
Minnesota Other 7100344

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