NPIMap

Organization Active NPI

Ebenezer Management Services

  • Adult Day Care Clinic/Center
  • Hastings, MN
National Provider Identifier
1225214869
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1044128 Issued in MN
Legal business name
EBENEZER MANAGEMENT SERVICES
Practice address
1355 S Frontage Rd Ste 360B
Hastings, MN 55033-2491
Phone
(651) 438-9800
Fax
(651) 437-4040
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Ms. Erin Hilligan
Title
Campus Director
Phone
(952) 898-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1044128 MN Primary

Addresses

Primary practice location

1355 S Frontage Rd Ste 360B
Hastings, MN 55033-2491

Mailing address

1355 S Frontage Rd Ste 360B
Hastings, MN 55033-2491
Phone (651) 438-9800

Other names 1

  • Hastings ADC - Day Break Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ebenezer Management Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1225214869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S FRONTAGE RD STE 360B",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332491",
            "telephone_number": "651-438-9800",
            "fax_number": "651-437-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S FRONTAGE RD STE 360B",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332491",
            "telephone_number": "651-438-9800",
            "fax_number": "651-437-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "HILLIGAN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CAMPUS DIRECTOR",
        "authorized_official_telephone_number": "952-898-8400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1044128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hastings ADC - Day Break",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.