Ebanks Residential Services, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

EBANKS RESIDENTIAL SERVICES, LLC

Practice address

6833 19TH Dr S
Lake Worth, FL 33462-4009

Phone

(561) 459-0578

Fax

(561) 323-2609

NPI assigned

Oct 13, 2021

Organization subpart

No

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

Authorized official

Name

Lorna E Ebanks

Title

Owner/Ceo

Phone

(561) 459-0578

Specialties & licenses 1

Addresses

Other names 2

• Ebanks Residential Services, LLC Former legal business name
• Edwards-Ebanks Residential Services Other name

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1174285480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 19TH DR S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334624009",
            "telephone_number": "561-459-0578",
            "fax_number": "561-323-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 19TH DR S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334624009",
            "telephone_number": "561-459-0578",
            "fax_number": "561-323-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBANKS RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "EBANKS",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "561-459-0578"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebanks Residential Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Edwards-Ebanks Residential Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Philip K Dvorak II, L.M.H.C
• Jane F Dye, LMFT
• Shealagh Marie Eagan, DPT
• Timothy Brian Eagan, PSY.D.
• Easy Reach Chiropractic LLC
• Mythsouca Ebanks
• Robert L Ebelhardt, LMT
• Edelstein Pediatrics
• Edge Medical Marketing LLC
• Edicom Health Partners LLC

• Developmentally Disabled Services Day Training Agency in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.