Eben-Ezer Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

33853312 Issued in NM

Legal business name

EBEN-EZER HOME CARE LLC

Practice address

524 Paloma Blanca Dr
Chaparral, NM 88081-7821

Phone

(575) 824-5320

NPI assigned

Oct 27, 2010

Last updated

Oct 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angeles M Dean

Title

Administrator

Phone

(575) 824-5320

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1255631933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 PALOMA BLANCA DR",
            "city": "CHAPARRAL",
            "state": "NM",
            "postal_code": "880817821",
            "telephone_number": "575-824-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 PALOMA BLANCA DR",
            "city": "CHAPARRAL",
            "state": "NM",
            "postal_code": "880817821",
            "telephone_number": "575-824-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBEN-EZER HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "ANGELES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "575-824-5320"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012713",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "33853312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Chaparral, NM
• Providers in Chaparral, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.