Ebenezery Adult Day Services, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

EBENEZERY ADULT DAY SERVICES, LLC

Practice address

6321 Jahnke Rd
Richmond, VA 23225-4142

Phone

(804) 447-5635

Fax

(804) 447-8737

NPI assigned

Jul 25, 2019

Last updated

Jul 25, 2019By 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

Moriam Omolara Adegbite

Title

Ceo

Phone

(804) 901-1314

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1336793736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 JAHNKE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254142",
            "telephone_number": "804-447-5635",
            "fax_number": "804-447-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 JAHNKE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254142",
            "telephone_number": "804-447-5635",
            "fax_number": "804-447-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZERY ADULT DAY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "ADEGBITE",
        "authorized_official_first_name": "MORIAM",
        "authorized_official_middle_name": "OMOLARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-901-1314"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Richmond, VA
• Providers in Richmond, VA by specialty
• Adult Day Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.