Ebenezer Home Care LLC
Organization Active NPI Home Health Agency · Providence, RI
NPI 1215722855 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1215722855
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- EBENEZER HOME CARE LLC
- Practice address
- 807 Broad St RM 354
Providence, RI 02907-1678 - Phone
- (401) 548-0680
- NPI assigned
- Apr 14, 2025
- Organization subpart
- No
Authorized official
- Name
- Anadilia Mejia
- Title
- Owner
- Phone
- (401) 548-0680
National Provider Directory
Locations
807 Broad St
Rm 354
Providence, RI 02907
Phone (401) 548-0680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
807 Broad St RM 354
Providence, RI 02907-1678
Mailing address
807 Broad St RM 354
Providence, RI 02907-1678
Phone (401) 548-0680
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All providers in Providence, RI · Home Health Agency in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.