Ebenezer Support Services Corp

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EBENEZER SUPPORT SERVICES CORP

Practice address

5601 SW 142ND Ave
Miami, FL 33183-1009

Phone

(305) 300-7068

NPI assigned

Aug 30, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mabel Sosa

Title

President

Phone

(305) 300-7068

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1053867010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 SW 142ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831009",
            "telephone_number": "305-300-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 SW 142ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831009",
            "telephone_number": "305-300-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER SUPPORT SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "SOSA",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-300-7068"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebenezer Behavior Center LLC
• Ebenezer Case Management Services, Inc
• Ebenezer Counseling Services Inc
• Ebenezer Family Home 2
• Ebenezer Family Home III LLC
• Ebenezer Transport Services Corp,
• Ariel Eber, MD
• Scott Twery Eber, MD
• Niurka Sotolongo Eberhardt, LMHC
• Lindsey Elizabeth Eberman, MS, ATC, LAT

• In Home Supportive Care Agency in Miami, FL
• Providers in Miami, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.